| Crossroads Treatment Center Of Northwest Georgia | |
|
4083 Cloud Springs Rd Ringgold GA 30736 | |
| (800) 805-6989 | |
| (864) 558-8511 |
| Full Name | Crossroads Treatment Center Of Northwest Georgia |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4083 Cloud Springs Rd, Ringgold, 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 Northwest Georgia Po Box 749057 Atlanta GA 30374-9057 Ph: (800) 805-6989 | Crossroads Treatment Center Of Northwest Georgia 4083 Cloud Springs Rd Ringgold GA 30736 Ph: (800) 805-6989 |
| NPI Number | 1356799688 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 0345677837 |
|---|---|
| Medicare Enrollment ID | O20200221002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356799688 | NPI | - | NPPES |
| NTP001064 | Other | GA | STATE LICENSE |
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