Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Active
Other names
Crossroads Treatment Center Memphis-Poplar Ave.
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC IV MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
2400 POPLAR AVE, MEMPHIS, TN 38112-3213
(800) 805-6989
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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