CROSSROADS TREATMENT CENTER OF WILLIAMSTOWN
NPI 1477227064
Clinic/Center - Rehabilitation, Substance Use Disorder in Williamstown, NJ
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About CROSSROADS TREATMENT CENTER OF WILLIAMSTOWN
This page provides the complete NPI Profile along with additional information for Crossroads Treatment Center Of Williamstown, a provider established in Williamstown, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1477227064 assigned on August 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Crossroads Treatment Center Of Williamstown. The authorized official of this NPI record is Rupert James Mccormac Md (Ceo)
- NPI
- 1477227064 Verify this NPI
- Provider Legal Name
- CROSSROADS OF NEW JERSEY MANAGEMENT, LLC
- Other Organization Name
- CROSSROADS TREATMENT CENTER OF WILLIAMSTOWN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1056 S BLACK HORSE PIKE STE 1&2 WILLIAMSTOWN, NJ 08094
- Location Phone
- (800) 805-6989
- Mailing Address
- PO BOX 749057 ATLANTA, GA 30374
- Mailing Phone
- (800) 805-6989
- Mailing Fax
- (864) 558-8511
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-06-2021
- Last Update Date
- 04-07-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477227064, enumerated as an "organization" on August 06, 2021.
The provider is located at 1056 S BLACK HORSE PIKE STE 1&2 WILLIAMSTOWN, NJ 08094 and the phone number is (800) 805-6989.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
