Organization
CROSSROADS TREATMENT CENTER OF GREENSBORO, PC
Active
Parent organization
CROSSROADS TREATMENT CENTER OF GREENSBORO, PC
Other names
Crossroads Treatment Center of Greensboro (Lab)
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSROADS TREATMENT CENTER OF GREENSBORO, PC
Authorized official
RUPERT JAMES MCCORMAC (PRESIDENT)
(800) 805-6989
Entity
Organization
Contact information
Practice address
2706 N CHURCH ST, GREENSBORO, NC 27405-3657
(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
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2083457
CLIA
NC
Enumeration date
05/27/2021
Last updated
06/18/2022
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