Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC (PRESIDENT/CEO)
(800) 805-6989
Entity
Organization
Contact information
Practice address
114 PERKINS LN, JACKSBORO, TN 37757-2833
(864) 436-7266
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
(864) 436-7266
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/01/2021
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