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Crossroads Treatment Center Of Lagrange, Pc
Substance Use Disorder Rehabilitation Clinic/Center in Lagrange, Georgia
NPI 1588102438

Crossroads Treatment Center Of Lagrange, Pc is a Substance Use Disorder Rehabilitation Clinic/Center based in Atlanta, GA and is specialized in Rehabilitation, Substance Use Disorder. Crossroads Treatment Center Of Lagrange, Pc practices in Lagrange, GA. The NPI Number for Crossroads Treatment Center Of Lagrange, Pc is 1588102438 and holds a License No. (Georgia).

The current practice location address for Crossroads Treatment Center Of Lagrange, Pc is 229 S Davis Rd, Lagrange, GA and can be reached out via phone at 008-056-9898 and via fax at 864-558-8511.

Location: 229 S Davis Rd, Lagrange, GA, 30374-9057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588102438
Provider Name
Crossroads Treatment Center Of Lagrange, Pc
Credential
Provider Entity Type
Organization
Address
229 S Davis Rd, Lagrange, GA, 30374-9057
Phone Number
008-056-9898
Fax Number
864-558-8511
Provider Enumeration Date
02/10/2017
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
NTP001092 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
229 S Davis Rd
City
Lagrange
State
Georgia
Zip
30241-2608
Phone Number
008-056-9898
Fax Number
864-558-8511
person
Provider Business Mailing Address Details
Address
229 S Davis Rd
City
Lagrange
State
Georgia
Zip
30241-2608
Phone Number
008-056-9898
Fax Number
864-558-8511
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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