Crossroads Treatment Center Of Lagrange, Pc
LBN: Crossroads Treatment Center Of Lagrange, Pc
Crossroads Treatment Center Of Lagrange, Pc is an health care organization with primary practice located at 229 S Davis Rd Suite 900, Lagrange GA 30241-2608. The organization recently has 6 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty.
Crossroads Treatment Center Of Lagrange, Pc can be contacted via phone (008) 056-9898, or through Mccormac, Rupert James via phone (800) 805-6989.
Contact Information
Primary practice address
229 S Davis Rd Suite 900
Lagrange GA 30241-2608
Phone: (008) 056-9898
Fax: (864) 558-8511
Website:
Authorized official contact:
Name: Mccormac, Rupert James Doctor of Medicine (MD)
Phone: (800) 805-6989
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1588102438 |
|---|---|
| LBN Legal business name | Crossroads Treatment Center Of Lagrange, Pc |
| DBA Doing business as | |
| Authorized official | Mccormac, Rupert James Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 10th, 2017 |
| Last updated | Feb 6th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588102438 | NPPES |
| Georgia | Other | NTP001092 | STATE LICENSE |
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