CROSSROADS TREATMENT CENTER AT SUGARLOAF PC NPI 1518484476

NPI Information

NPI: 1518484476
Provider Name: CROSSROADS TREATMENT CENTER AT SUGARLOAF, PC

Doing Business As: CROSSROADS TREATMENT CENTER AT SUGARLOAF

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
2855 LAWRENCEVILLE SUWANEE RD STE 330
SUWANEE, GA
ZIP 30024
Phone: (800) 805-6989
Get Directions

CROSSROADS TREATMENT CENTER AT SUGARLOAF, PC is a methadone clinic center in Suwanee, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CROSSROADS TREATMENT CENTER AT SUGARLOAF, PC NPI is 1518484476. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Treatment Center At Sugarloaf.

The provider's business location address is:

2855 LAWRENCEVILLE SUWANEE RD STE 330
SUWANEE, GA
ZIP 30024-572
Phone: (800) 805-6989
Fax: (864) 558-8511

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 enumeration date for this NPI number is 8/23/2017 and was last updated on 6/8/2022.

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	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	261QP2300X	Clinic/Center	Primary Care	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
6	261QM2800X	Clinic/Center	Methadone	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NTP001068	OTHER	GEORGIA	STATE LICENSE

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

NPI Synchronization or Removal

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