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Organization
CROSSROADS AT MOUNTAIN MEADOWS, INC.
Active
Organization
CROSSROADS AT MOUNTAIN MEADOWS, INC.
Active
Other names
Crossroads Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE TURNER (CEO)
(864) 246-0266
Entity
Organization
Contact information
Practice address
9528 OLD WHITE HORSE RD, GREENVILLE, SC 29617-6914
(864) 246-0266
(864) 246-0652
Mailing address
PO BOX 14939, GREENVILLE, SC 29610-4939
(864) 246-0266
(864) 246-0652
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-0008165001-CCI
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951MXH
—
SC
Enumeration date
10/26/2006
Last updated
08/22/2020
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