CROSSROADS TREATMENT CENTER OF WEAVERVILLE PC NPI 1376073957

NPI Information

NPI: 1376073957
Provider Name: CROSSROADS TREATMENT CENTER OF WEAVERVILLE, PC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 34D2083607

Address:
901 OLD MARS HILL HWY STE 3
WEAVERVILLE, NC
ZIP 28787
Phone: (828) 645-3687
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CROSSROADS TREATMENT CENTER OF WEAVERVILLE, PC is a rehabilitation and substance use disorder clinic center in Weaverville, NC. CROSSROADS TREATMENT CENTER OF WEAVERVILLE, PC NPI is 1376073957. The provider is registered as an organization entity type.

The provider's business location address is:

901 OLD MARS HILL HWY STE 3
WEAVERVILLE, NC
ZIP 28787-628
Phone: (828) 645-3687

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

The CLIA number assigned to this NPI record is 34D2083607 - other - opiod treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 6/18/2022.

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	251S00000X	Community/Behavioral Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		No
3	261QM1300X	Clinic/Center	Multi-Specialty		No
4	261QM2800X	Clinic/Center	Methadone		No
5	261QP2300X	Clinic/Center	Primary Care		No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	NORTH CAROLINA	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: 5/5/2024

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