| Crossroads Treatment Center Of Northern Kentucky, Psc | |
|
1974 Walton Nicholson Pike Independence KY 41051-7906 | |
| (859) 359-5404 | |
| (859) 359-0739 |
| Full Name | Crossroads Treatment Center Of Northern Kentucky, Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1974 Walton Nicholson Pike, Independence, Kentucky |
| Authorized Official Name and Position | Rupert Mccormac (CHIEF EXECUTIVE OFFICER) |
| 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 Northern Kentucky, Psc Po Box 749057 Atlanta GA 30374-9057 Ph: (800) 805-6989 | Crossroads Treatment Center Of Northern Kentucky, Psc 1974 Walton Nicholson Pike Independence KY 41051-7906 Ph: (859) 359-5404 |
| NPI Number | 1174040034 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 6406281005 |
|---|---|
| Medicare Enrollment ID | O20200108001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174040034 | NPI | - | NPPES |
| 810538 | Other | KY | STATE LICENSE |
Behavioral Health Billing Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5319 Midnight Run, Independence, KY 41051 Phone: 614-361-0100 | |
Yes Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2903 Faubush Ct, Independence, KY 41051 Phone: 513-678-4577 |