Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT MCCORMAC IV MD (CHIEF EXECUTIVE OFFICER)
(443) 280-7071
Entity
Organization
Contact information
Practice address
4140 THORNTON TAYLOR PKWY STE D, FAYETTEVILLE, TN 37334-2290
(800) 805-6989
(864) 558-8511
Mailing address
PO BOX 749057, ATLANTA, GA 30374-9057
(800) 805-6989
(864) 558-8511
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
03/02/2026
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