Organization · NPI-2

Crossroads Treatment Centers Of Tennessee, P.C.

Clinic/Center, Multi-Specialty · Johnson City, TN

NPI number1801565932
StatusActive
Last updated in NPPESSep 11, 2021

Details

NPI
1801565932
Entity type
Organization (NPI-2)
Legal business name
Crossroads Treatment Centers Of Tennessee, P.C.
Organization subpart
No
Enumeration date
Sep 11, 2021
Certification date
Sep 11, 2021
Last updated
Sep 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
251B00000X Case Management––
251S00000X Community/Behavioral Health––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Other names

  • Crossroads Treatment Centers Johnson City (Doing Business As)

Practice location

2408 Susannah St
Johnson City, TN 37601-1732

Phone 800-805-6989

Mailing address

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

Phone 864-452-7314

Authorized official

Rupert James Mccormac
President
8645273145

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