| NPI | 1992370324 |
|---|---|
| Doing Business As | CROSSROADS TREATMENT CENTERS BEAVER (LAB) |
| Entity Type | Organization |
| Authorized Contact | RUPERT MCCORMAC Chief Executive Officer 800-805-6989 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-07-12 |