CROSSROADS TREATMENT CENTER, LLC (NPI# 1104085984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104085984 |
Entity Type | Organization |
Organization Name | CROSSROADS TREATMENT CENTER, LLC |
Practice Address |
6 Roberts Rd Suite 103 Asheville NC 28803-8613 |
Practice Telephone | 8285053086 |
Mailing Telephone | 8285053086 |
Enumeration Date | 2008-06-05 |
Last Update Date | 2008-06-05 |
Authorized Official Name | DR. RUPERT JAMES MCCORMAC IV (PRESIDENT) |
Authorized Official Telephone | 8642706860 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | TREATMENT CENTERS HOLDCO |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
RC03368490 | NC | Ambulatory Health Care Facilities |
Street Address |
6 ROBERTS RD SUITE 103 |
City | ASHEVILLE |
State | NC |
Zip Code | 28803-8613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811554793 | Makenzie St Louis | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2019-05-25 |
1790255925 | Arthur Alfonzo Gilliam | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2018-11-30 |
1023586484 | An Vinh Truong | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2018-11-05 |
1588118400 | Lora Steffner | Pharmacist | 6 Roberts Rd, Suite 105, Asheville, NC 28803-8699 | 2016-08-09 |
1528422938 | Susan Willis | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2016-04-12 |
1215396403 | Ashley Tolbert | Counselor | 6 Roberts Rd, Suite 103, Asheville, NC 28803-8699 | 2016-02-16 |
1306205596 | Heather Tolbert | Counselor | 6 Roberts Rd, Ste 103, Asheville, NC 28803-8699 | 2016-02-16 |
1609241207 | Matthew Tansey | Counselor | 6 Roberts Rd, Suite 103, Asheville, NC 28803-8699 | 2015-12-08 |
1467839308 | Nastassia Dorota Broszkiewicz | Psychologist | 6 Roberts Rd, Asheville, NC 28803-8699 | 2015-04-29 |
1124457718 | Crossroads Treatment Center of Asheville, PC | Community/Behavioral Health | 6 Roberts Rd, Asheville, NC 28803-8699 | 2013-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700424538 | Lilian Elizabeth Fountain | Audiologist | 285 Mcdowell Street, Asheville, NC 28803 | 2019-12-11 |
1831735422 | Melzer and Associates-biltmore-pllc | Dentist | 1 Vanderbilt Park Dr., Ste: 220, Asheville, NC 28803 | 2019-11-19 |
1821632183 | Unified Therapies | Social Worker | 145 Charlotte Hwy, Suite 40, Asheville, NC 28803 | 2019-10-30 |
1558919969 | Revolution Access Inc | Contractor | 85 Shiloh Road, Unit 50, Asheville, NC 28803 | 2019-08-28 |
1427612621 | Anson Bruce Alvis | Student in an Organized Health Care Education/Training Program | Family Medicine, 123 Hendersonville Road, Asheville, NC 28803 | 2019-04-24 |
1457837569 | Haley Ellison Ward | Physician Assistant | 3 Walden Ridge Dr Ste 100, Asheville, NC 28803 | 2018-07-12 |
1881188233 | Michelle Nicole Fronzaglia | Speech-Language Pathologist | 9 West Summit Ave, Asheville, NC 28803 | 2018-06-19 |
1164912515 | Susan Pethel | Physical Therapist | Southeastern Physical Therapy, LLC., 23 Turtle Creek Drive, Asheville, NC 28803 | 2018-05-11 |
1659876878 | Brian Swindell Desmond | Family Medicine | 123 Hendersonville Road, Asheville, NC 28803 | 2018-03-28 |
1639672181 | Goldman Medical P.a. | Psychiatry & Neurology | 1516 Kentmere Lane, Asheville, NC 28803 | 2018-03-12 |
Find all providers in zip 28803 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
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1609491273 | Alef High Point LLC | Clinic/Center | 919 Phillips Ave Ste 107, High Point, NC 27262-7076 | 2020-06-10 |
1861057747 | Independent Business Solutions | Clinic/Center | 110 Fallenwood Ave, Durham, NC 27713-7112 | 2019-05-06 |
1710470901 | Pieridae Treatment Centers LLC | Clinic/Center | 4806 Asheville Hwy, Hendersonville, NC 28791-9091 | 2018-06-12 |
1750821229 | Jacksonville Treatment Center | Clinic/Center | 1112 Silver Oaks Ct, Raleigh, NC 27614-9359 | 2017-03-03 |
1528202926 | Raleigh Methadone Treatment Center | Clinic/Center | 5109 Oak Park Rd, Raleigh, NC 27612-3063 | 2009-04-29 |
1295336386 | Cherokee Indian Hospital Authority | Clinic/Center | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
1952896813 | Sanford Treatment Center, LLC | Clinic/Center | 2800 Industrial Dr, Sanford, NC 27332 | 2018-06-24 |
1528594041 | Rocky Mount Treatment Center LLC | Clinic/Center | 104 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2017-05-03 |
1053851410 | Metro Treatment of North Carolina L P | Clinic/Center | 238 Wilmot Dr, Gastonia, NC 28054-4047 | 2017-03-06 |
1023550944 | Ats of North Carolina, LLC | Clinic/Center | 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 | 2016-11-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.