Organization · NPI-2

Crossroads Treatment Centers Of North Carolina, P.C.

Clinic/Center, Multi-Specialty · Gastonia, NC

NPI number1427776244

StatusActive

Last updated in NPPESAug 17, 2022

Details

NPI: 1427776244
Entity type: Organization (NPI-2)
Legal business name: Crossroads Treatment Centers Of North Carolina, P.C.
Organization subpart: No
Enumeration date: Aug 17, 2022
Certification date: Aug 17, 2022
Last updated: Aug 17, 2022

Taxonomy and licenses

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

Other names

Crossroads Treatment Centers Gastonia (Doing Business As)

Practice location

609 S New Hope Rd Ste 200a
Gastonia, NC 28054-4870

Phone 800-805-6989 · Fax 864-558-8511

Mailing address

200 E Broad St Ste 300
Greenville, SC 29601-2891

Phone 800-805-6989 · Fax 864-558-8511

Authorized official

Rupert Mccormac
Ceo
8008056989

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