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CROSSROADS COUNSELING CENTER, INC.

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Company Details

Name: CROSSROADS COUNSELING CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 30 Sep 2005 (20 years ago)
Entity Number: 3263499
ZIP code: 11741
County: Suffolk
Place of Formation: New York
Address: 440 FURROWS ROAD, HOLBROOK, NY, United States, 11741

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 440 FURROWS ROAD, HOLBROOK, NY, United States, 11741

National Provider Identifier

NPI Number:
1841648920

Authorized Person:

Name:
JAY HART
Role:
LCSW
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
050930000836 2005-09-30 CERTIFICATE OF INCORPORATION 2005-09-30

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State