CROSSROADS TREATMENT CENTERS OF TENNESSEE PC NPI 1346850708

NPI Information

NPI: 1346850708
Provider Name: CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 44D2189623

Address:
114 PERKINS LN
JACKSBORO, TN
ZIP 37757
Phone: (864) 436-7266
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CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC is a rehabilitation and substance use disorder clinic center in Jacksboro, TN. CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC NPI is 1346850708. The provider is registered as an organization entity type.

The provider's business location address is:

114 PERKINS LN
JACKSBORO, TN
ZIP 37757-833
Phone: (864) 436-7266

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

The CLIA number assigned to this NPI record is 44D2189623 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2020 and was last updated on 7/1/2021.

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
1	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

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