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CROSSROADS TREATMENT CENTER OF NORTHWEST GEORGIA NPI 1356799688


NPI Information

NPI: 1356799688
Provider Name: CROSSROADS TREATMENT CENTER OF NORTHWEST GEORGIA

Doing Business As: CROSSROADS TREATMENT CENTER OF NORTHWEST GEORGIA

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4083 CLOUD SPRINGS RD
RINGGOLD, GA
ZIP 30736
Phone: (800) 805-6989
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CROSSROADS TREATMENT CENTER OF NORTHWEST GEORGIA is a community behavioral health in Ringgold, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CROSSROADS TREATMENT CENTER OF NORTHWEST GEORGIA NPI is 1356799688. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Treatment Center Of Northwest Georgia.

The provider's business location address is:

4083 CLOUD SPRINGS RD
RINGGOLD, GA
ZIP 30736
Phone: (800) 805-6989
Fax: (864) 558-8511

The provider's authorized official is Rupert James Mccormac .
The authorized official title is President and has the following contact phone number (800) 805-6989.

The enumeration date for this NPI number is 5/26/2016 and was last updated on 2/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNo
2261QP2300XClinic/CenterPrimary CareNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4251S00000XCommunity/Behavioral HealthGA-10131-MGEORGIANo
5261QM1300XClinic/CenterMulti-SpecialtyNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NTP001064OTHERGEORGIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.