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Crossroads Treatment Center Of Louisville, Psc
Substance Use Disorder Rehabilitation Clinic/Center in Jeffersontown, Kentucky
NPI 1649797507

Crossroads Treatment Center Of Louisville, Psc is a Substance Use Disorder Rehabilitation Clinic/Center based in Atlanta, KY and is specialized in Rehabilitation, Substance Use Disorder. Crossroads Treatment Center Of Louisville, Psc practices in Jeffersontown, KY. The NPI Number for Crossroads Treatment Center Of Louisville, Psc is 1649797507 and holds a License No. (Kentucky).

The current practice location address for Crossroads Treatment Center Of Louisville, Psc is 1700 Cargo Ct, Jeffersontown, KY and can be reached out via phone at 502-749-6764 and via fax at 502-749-6843.

Location: 1700 Cargo Ct, Jeffersontown, KY, 30374-9057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649797507
Provider Name
Crossroads Treatment Center Of Louisville, Psc
Credential
Provider Entity Type
Organization
Address
1700 Cargo Ct, Jeffersontown, KY, 30374-9057
Phone Number
502-749-6764
Fax Number
502-749-6843
Provider Enumeration Date
08/23/2017
Last Update Date
08/17/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
810552 01 KY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1700 Cargo Ct
City
Jeffersontown
State
Kentucky
Zip
40299-1938
Phone Number
502-749-6764
Fax Number
502-749-6843
person
Provider Business Mailing Address Details
Address
1700 Cargo Ct
City
Jeffersontown
State
Kentucky
Zip
40299-1938
Phone Number
502-749-6764
Fax Number
502-749-6843
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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