| Crossroads Treatment Center Of Charleston, Pc | |
|
2470 Mall Dr Unit C North Charleston SC 29406-6514 | |
| (843) 207-4721 | |
| Not Available |
| Full Name | Crossroads Treatment Center Of Charleston, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2470 Mall Dr, North Charleston, South Carolina |
| 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 Charleston, Pc 200 E Broad St Ste 300 Greenville SC 29601-2891 Ph: (800) 805-6989 | Crossroads Treatment Center Of Charleston, Pc 2470 Mall Dr Unit C North Charleston SC 29406-6514 Ph: (843) 207-4721 |
| NPI Number | 1114460375 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 06/18/2022 |
| Certification Date | 11/29/2021 |
| Medicare PECOS PAC ID | 4284061805 |
|---|---|
| Medicare Enrollment ID | O20200220001836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114460375 | NPI | - | NPPES |
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