| Crossroads Treatment Center Of Lagrange, Pc | |
|
229 S Davis Rd Suite 900 Lagrange GA 30241-2608 | |
| (008) 056-9898 | |
| (864) 558-8511 |
| Full Name | Crossroads Treatment Center Of Lagrange, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 229 S Davis Rd, Lagrange, 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 Of Lagrange, Pc Po Box 749057 Atlanta GA 30374-9057 Ph: (800) 805-6989 | Crossroads Treatment Center Of Lagrange, Pc 229 S Davis Rd Suite 900 Lagrange GA 30241-2608 Ph: (008) 056-9898 |
| NPI Number | 1588102438 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 8921436817 |
|---|---|
| Medicare Enrollment ID | O20200306000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588102438 | NPI | - | NPPES |
| NTP001092 | Other | GA | STATE LICENSE |
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