| Crossroads Treatment Center Of Petersburg | |
|
10543 S Crater Rd South Prince George VA 23805-7333 | |
| (800) 805-6989 | |
| Not Available |
| Full Name | Crossroads Treatment Center Of Petersburg |
|---|---|
| Speciality | Clinic/Center |
| Location | 10543 S Crater Rd, South Prince George, Virginia |
| Authorized Official Name and Position | Rupert J. 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 Petersburg Po Box 749057 Atlanta GA 30374-9057 Ph: (800) 805-6989 | Crossroads Treatment Center Of Petersburg 10543 S Crater Rd South Prince George VA 23805-7333 Ph: (800) 805-6989 |
| NPI Number | 1699218669 |
|---|---|
| Provider Enumeration Date | 11/23/2016 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Medicare PECOS PAC ID | 8628405206 |
|---|---|
| Medicare Enrollment ID | O20200219003046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699218669 | NPI | - | NPPES |
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