Organization · NPI-2

Crossroads Of New Jersey Management, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder · Toms River, NJ

NPI number1174015093
StatusActive
Last updated in NPPESApr 7, 2024

Details

NPI
1174015093
Entity type
Organization (NPI-2)
Legal business name
Crossroads Of New Jersey Management, LLC
Organization subpart
No
Enumeration date
Jun 6, 2018
Certification date
Apr 7, 2024
Last updated
Apr 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
251S00000X Community/Behavioral Health––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM1300X Clinic/Center, Multi-Specialty––
261QM2800X Clinic/Center, Methadone Clinic––
261QP2300X Clinic/Center, Primary Care––

Other names

  • Crossroads Treatment Center Of Toms River (Doing Business As)

Practice location

751 Route 37 W
Toms River, NJ 08755-5032

Phone 864-527-3145

Mailing address

Po Box 749057
Atlanta, GA 30374-9057

Phone 800-805-6989 · Fax 864-558-8511

Authorized official

Rupert Mccormac
President
8008056989

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