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Organization
CROSSROADS TREATMENT CENTER OF SUFFOLK, PC
Active
Organization
CROSSROADS TREATMENT CENTER OF SUFFOLK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPERT MCCORMAC IV MD (CHIEF EXECUTIVE OFFICER)
(800) 805-6989
Entity
Organization
Contact information
Practice address
1258 HOLLAND RD, SUFFOLK, VA 23434-6313
(757) 809-4771
(757) 809-4932
Mailing address
PO BOX 749057, ATLANTA, GA 30374-9057
(800) 805-6989
(864) 990-0653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
VA
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/31/2017
Last updated
09/03/2024
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