Crossroads Treatment Centers Of Tennessee, PC
Clinic/Center in Nashville, TN. Organization (NPI-2).
NPI number1073277679
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1073277679
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Treatment Centers Of Tennessee, PC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 101YP2500X | Counselor, Professional | – | – |
Other names
- Crossroads Treatment Center Mainstream (Doing Business As)
Practice location
505 Mainstream DrNashville, TN 37228-1208
Phone 800-805-6988
Mailing address
200 E Broad St Ste 300Greenville, SC 29601-2891
Authorized official
Rupert James McCormac
President
8645273145
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