Organization
CROSSROADS TREATMENT CENTER OF DENVER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPERT J. MCCORMAC IV M.D. (PRESIDENT)
(800) 805-6989
Entity
Organization
Contact information
Practice address
1801 W 13TH AVE, DENVER, CO 80204-2407
(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
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1822-00
STATE LICENSE
CO
Enumeration date
11/21/2016
Last updated
06/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us