Organization
CROSSROADS TREATMENT CENTER AT SUGARLOAF, PC
Active
Other names
Crossroads Treatment Center at Sugarloaf
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC (PRESIDENT)
(800) 805-6989
Entity
Organization
Contact information
Practice address
2855 LAWRENCEVILLE SUWANEE RD STE 330, SUWANEE, GA 30024-3572
(800) 805-6989
(864) 558-8511
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
(800) 805-6989
(864) 558-8511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NTP001068
STATE LICENSE
GA
Enumeration date
08/23/2017
Last updated
06/08/2022
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