Organization
CROSSROADS TREATMENT CENTER OF WEST MEMPHIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
103 S AVALON ST, WEST MEMPHIS, AR 72301
(870) 394-4307
(870) 394-9936
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
(864) 527-3145
(864) 990-0653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
AR
261QM2800X
Methadone Clinic
—
AR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
08/17/2018
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