Provider Demographics
NPI:1952798407
Name:CROSSROADS BEHAVIORAL HEALTHCARE
Entity type:Organization
Organization Name:CROSSROADS BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,PMHNP
Authorized Official - Phone:702-763-6761
Mailing Address - Street 1:6069 S FORT APACHE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5647
Mailing Address - Country:US
Mailing Address - Phone:702-410-2631
Mailing Address - Fax:
Practice Address - Street 1:6069 S FORT APACHE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5647
Practice Address - Country:US
Practice Address - Phone:702-410-2631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001898163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty