| Crossroads Treatment Center Of Ashland | |
|
1220 Greenup Ave Ashland KY 41101-7525 | |
| (606) 393-1165 | |
| (606) 393-1775 |
| Full Name | Crossroads Treatment Center Of Ashland |
|---|---|
| Speciality | Clinic/Center |
| Location | 1220 Greenup Ave, Ashland, Kentucky |
| Authorized Official Name and Position | Rupert James Mccormac (CEO) |
| 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 Of Ashland Po Box 749057 Atlanta GA 30374-9057 Ph: (800) 805-6989 | Crossroads Treatment Center Of Ashland 1220 Greenup Ave Ashland KY 41101-7525 Ph: (606) 393-1165 |
| NPI Number | 1346745718 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 6406284199 |
|---|---|
| Medicare Enrollment ID | O20200311001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346745718 | NPI | - | NPPES |
| 810586 | Other | KY | STATE LICENSE |
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