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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