| NPI | 1811661358 |
|---|---|
| Doing Business As | CROSSROADS TREATMENT CENTER LOUISVILLE - SHIVELY |
| Entity Type | Organization |
| Authorized Contact | RUPERT JAMES MCCORMAC President 864-527-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM2800X Clinic/Center Methadone | |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-08-10 |