Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Active
Other names
CRossroads Treatment Centers Shelby Oak
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
5901 SHELBY OAKS DR, MEMPHIS, TN 38134-7312
(800) 805-6989
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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