Organization
CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Active
Other names
Crossroads Treatment Center Mainstream
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC IV MD (PRESIDENT)
(864) 527-3145
Entity
Organization
Contact information
Practice address
505 MAINSTREAM DR, NASHVILLE, TN 37228-1208
(800) 805-6989
Mailing address
200 E BROAD ST STE 300, GREENVILLE, SC 29601-2891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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