CROSSROADS FOUNDATION
Residential Treatment Facilities at 4 Ave, San Diego, CA

License number
California 370002AN
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MS. DORA MARIA COSTELLO
Title: EXECUTIVE DIRECTOR
Phone: (619) 296-1151
Address
Address
3594 4Th Ave, San Diego, CA 92103
National Provider ID: 1881819621
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE CROSSROADS FOUNDATION

3594 4 Ave, San Diego, CA 92103

Doing business as:
Crossroads Foundation
Registration:
May 1, 1957
Phone:
(619) 296-1151 (Phone)
State ID:
C0337583
Business type:
Articles of Incorporation
Presidents:
Daine Brown (President),Dora Maria Costello (Executive Director, President),Maria Maria Costello Executive Director, President, inactive,...

THE CROSSROADS FOUNDATION, INCORPORATED

814 Morena Blvd #109, San Diego, CA 92110

Status:
Inactive
Registration:
Jan 24, 1985
State ID:
C1266818
Business type:
Articles of Incorporation
President:
Gerald Kersenbrock President, inactive
Agent:
Walter Lundstein,San Diego, CA 92101 (Physical)

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