Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Active
Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Active
Other names
Crossroads Treatment Center Mainstream
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
505 MAINSTREAM DR, NASHVILLE, TN 37228-1208
(800) 805-6988
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
—
—
101YP2500X
Professional Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/29/2021
Last updated
11/23/2021
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