NPI:
1417452798
Provider Name:
CROSSROADS TREATMENT CENTER OF SOMERSET, PSC
Doing Business As: CROSSROADS TREATMENT CENTER OF SOMERSET
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 18D2138653
Address:
607 CLIFTY ST
SOMERSET, KY
ZIP 42503
Phone:
(606) 485-4730
Get Directions
CROSSROADS TREATMENT CENTER OF SOMERSET, PSC is a rehabilitation and substance use disorder clinic center in Somerset, KY. CROSSROADS TREATMENT CENTER OF SOMERSET, PSC NPI is 1417452798. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Treatment Center Of Somerset.
The provider's business location address is:
607 CLIFTY ST
SOMERSET, KY
ZIP 42503-765
Phone: (606) 485-4730
Fax: (606) 485-4733
The provider's authorized official is Rupert James 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 18D2138653 - other - methadone clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/28/2018 and was last updated on 6/18/2022.