Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Active
Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Active
Other names
Crossroads Treatment Center Hermitage
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
5045 OLD HICKORY BLVD STE 101, HERMITAGE, TN 37076-2581
(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
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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