Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREDENTIALING STAFF (PRESIDENT/CEO)
(800) 805-6989
Entity
Organization
Contact information
Practice address
2305 N GATEWAY AVE UNIT 4, HARRIMAN, TN 37748-8683
(800) 805-6989
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
(800) 805-6989
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
07/01/2021
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