CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC; NPI #1104581040

Contact Information

CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC

2605 S NONCONNAH BLVD
MEMPHIS, TN 38132-2144

Phone: 800-805-6989
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Clinic/Center	261Q00000X
Addiction (Substance Use Disorder)	101YA0400X
Medically Fragile Infants and Children Day Care	261QM3000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC

NPI #	`1104581040`
LBN Legal business name	CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Authorized official	RUPERT MCCORMAC - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/05/2021
Last updated	11/05/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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