Organization
CROSSROADS TREATMENT CENTER OF WOODBURY HEIGHTS
Active
Parent organization
CROSSROADS OF NEW JERSEY MANAGEMENT, LLC
Other names
Crossroads Treatment Center of Woodbury Heights
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSSROADS OF NEW JERSEY MANAGEMENT, LLC
Authorized official
RUPERT MCCORMAC MD (PRESIDENT)
(864) 558-9317
Entity
Organization
Contact information
Practice address
40 ELM AVE, WOODBURY HEIGHTS, NJ 08097-1140
(800) 805-6989
(864) 558-8511
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
(800) 805-6989
(864) 558-8511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
LICENSE
NJ
Enumeration date
06/06/2022
Last updated
06/18/2022
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