NPI | 1104581040 |
---|---|
Doing Business As | CROSSROADS TREATMENT CENTERS TENNESSEE |
Entity Type | Organization |
Authorized Contact | RUPERT MCCORMAC President 800-805-6989 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
Enumeration Date | 2021-11-05 |
Last Update Date | 2021-11-05 |