Organization
CROSSROADS TREATMENT CENTER OF CALHOUN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPERT MCCORMAC (PRESIDENT)
(800) 805-6989
Entity
Organization
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(800) 805-6989
(864) 558-8511
Mailing address
PO BOX 749057, ATLANTA, GA 30374-9057
(800) 805-6988
(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
—
NTP001084
STATE LICENS
GA
Enumeration date
08/23/2017
Last updated
02/05/2024
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