NPI | 1184036790 |
---|---|
Doing Business As | CROSSROADS TREATMENT CENTERS WASKOM |
Entity Type | Organization |
Authorized Contact | RUPERT MCCORMAC President 800-805-6989 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: TX 1000008) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center Multi-Specialty | |
261QP2300X Clinic/Center Primary Care | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2014-06-02 |
Last Update Date | 2022-06-18 |