Crossroads Treatment Center Of Calhoun, PC
Clinic/Center, Methadone Clinic in Calhoun, GA. Organization (NPI-2).
NPI number1932626892
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1932626892
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Treatment Center Of Calhoun, PC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2017
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
367 Richardson Rd SeCalhoun, GA 30701-3619
Phone 800-805-6989 · Fax 864-558-8511
Mailing address
Po Box 749057Atlanta, GA 30374-9057
Phone 800-805-6988 · Fax 864-558-8511
Authorized official
Rupert Mccormac
President
8008056989
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