Organization
CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT MCCORMAC IV MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
116 LONG POND RD STE 2-3, PLYMOUTH, MA 02360-2663
(774) 773-3905
(774) 773-9623
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
(864) 527-3145
(864) 990-0653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
03/28/2018
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