CROSSROADS TREATMENT CENTER OF WEST MEMPHIS PC NPI 1043715329

NPI Information

NPI: 1043715329
Provider Name: CROSSROADS TREATMENT CENTER OF WEST MEMPHIS, PC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
103 S AVALON ST
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 394-4307
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CROSSROADS TREATMENT CENTER OF WEST MEMPHIS, PC is a rehabilitation and substance use disorder clinic center in West Memphis, AR. CROSSROADS TREATMENT CENTER OF WEST MEMPHIS, PC NPI is 1043715329. The provider is registered as an organization entity type.

The provider's business location address is:

103 S AVALON ST
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 394-4307
Fax: (870) 394-9936

The provider's authorized official is Rupert James Mccormac .
The authorized official title is President and has the following contact phone number (864) 527-3145.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 8/17/2018.

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 State	Primary
1	261QM2800X	Clinic/Center	Methadone	ARKANSAS	No
2	251S00000X	Community/Behavioral Health		ARKANSAS	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		Yes

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: 4/28/2024

NPI Synchronization or Removal

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