Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Active
Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Active
Other names
Crossroads Treatment Centers Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
2408 SUSANNAH ST, JOHNSON CITY, TN 37601-1732
(800) 805-6989
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
(864) 452-7314
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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