Organization · Type 2 NPI
Crossroads Treatment Center of Suffolk, PC
Methadone Clinic · Suffolk, VA
NPI number
1245758135
Active
Practice location
1258 Holland Rd
Suffolk, VA 23434-6313
Fax (757) 809-4932
Mailing address
PO Box 749057
Atlanta, GA 30374-9057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
23 other providers at this address
- Antoinette L. PorterAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1154088110
- Ben Dragan ZornAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1336969153
- Benzina Sarden, LPNLicensed Practical Nurse Suffolk, VA NPI 1568124618
- Chirelle JonesLicensed Practical Nurse Suffolk, VA NPI 1417582198
- Darrain Latrice CasperAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1922818871
- Ebony Irvin, CCMAMedical Physician Assistant Suffolk, VA NPI 1265312334
- Erin Marie Hough, CSAC-SAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1346050432
- Etienne Fox Logan IiAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1346712478
- Gerod Stukes, BBS, ACC, APM, CSACAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1871254920
- Gwendolyn Yolanda Bryant, LPNLicensed Practical Nurse Suffolk, VA NPI 1447900667
- Janisa CookeAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1588587786
- Julian Myles JacksonAddiction (Substance Use Disorder) Counselor Suffolk, VA NPI 1356213169
About NPI 1245758135
Crossroads Treatment Center of Suffolk, PC's National Provider Identifier is 1245758135, issued on Aug 31, 2017. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Suffolk, VA. The record was last updated on Sep 3, 2024.