Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Active
Other names
Crossroads Treatment Center of Mulberry
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
810 MULBERRY ST STE A, LOUDON, TN 37774-1309
(800) 805-6989
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
(800) 805-6989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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