| Crossroads Treatment Center Louisville - Shively | |
|
4615 Dixie Hwy Ste C Louisville KY 40216-3682 | |
| (800) 805-6989 | |
| Not Available |
| Full Name | Crossroads Treatment Center Louisville - Shively |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4615 Dixie Hwy Ste C, Louisville, Kentucky |
| Authorized Official Name and Position | Rupert James Mccormac (PRESIDENT) |
| Authorized Official Contact | 8645273145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Treatment Center Louisville - Shively 200 E Broad St Ste 300 Greenville SC 29601-2891 Ph: (186) 452-7314 | Crossroads Treatment Center Louisville - Shively 4615 Dixie Hwy Ste C Louisville KY 40216-3682 Ph: (800) 805-6989 |
| NPI Number | 1811661358 |
|---|---|
| Provider Enumeration Date | 08/08/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811661358 | NPI | - | NPPES |
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