| Crossroads Treatment Center At Sugarloaf | |
|
2855 Lawrenceville Suwanee Rd Ste 330 Suwanee GA 30024-3572 | |
| (800) 805-6989 | |
| (864) 558-8511 |
| Full Name | Crossroads Treatment Center At Sugarloaf |
|---|---|
| Speciality | Clinic/Center |
| Location | 2855 Lawrenceville Suwanee Rd Ste 330, Suwanee, Georgia |
| Authorized Official Name and Position | Rupert James Mccormac (PRESIDENT) |
| Authorized Official Contact | 8008056989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Treatment Center At Sugarloaf 200 E Broad St Ste 300 Greenville SC 29601-2891 Ph: (800) 805-6989 | Crossroads Treatment Center At Sugarloaf 2855 Lawrenceville Suwanee Rd Ste 330 Suwanee GA 30024-3572 Ph: (800) 805-6989 |
| NPI Number | 1518484476 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Medicare PECOS PAC ID | 5597193490 |
|---|---|
| Medicare Enrollment ID | O20200306001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518484476 | NPI | - | NPPES |
| NTP001068 | Other | GA | STATE LICENSE |
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