Organization
STARTING POINT OF KENTUCKY, PSC
Active
Organization
STARTING POINT OF KENTUCKY, PSC
Active
Other names
Crossroads Treatment Center Louisville - Shively
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
4615 DIXIE HWY STE C, LOUISVILLE, KY 40216-3682
(800) 805-6989
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
(186) 452-7314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
08/08/2021
Last updated
08/10/2021
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