Organization · Type 2 NPI
Crossroads Treatment Center of Petersburg, PC
Substance Use Disorder Rehabilitation Clinic/Center · South Prince George, VA
NPI number
1699218669
Active
Practice location
10543 S Crater Rd
South Prince George, VA 23805-7333
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 | 261QM2800X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
35 other providers at this address
- Adrian Denise ClarkLicensed Practical Nurse South Prince George, VA NPI 1942832662
- Aiden VoxAddiction (Substance Use Disorder) Counselor South Prince George, VA NPI 1922508621
- Amy Armstead-Stamper, DNPPsychiatric/Mental Health Nurse Practitioner South Prince George, VA NPI 1770113763
- Angela Elizabeth TalebLicensed Practical Nurse South Prince George, VA NPI 1659022713
- Ashley ChamblissLicensed Practical Nurse South Prince George, VA NPI 1124515226
- Bethany PaganoAddiction (Substance Use Disorder) Counselor South Prince George, VA NPI 1942083787
- Bradley Daniel Demery, RNRegistered Nurse South Prince George, VA NPI 1841897832
- Brooke M. Graves, CSAC-S QMHP-AAddiction (Substance Use Disorder) Counselor South Prince George, VA NPI 1215541321
- Candace RaburnAddiction (Substance Use Disorder) Counselor South Prince George, VA NPI 1407387335
- Charlisa Rhodes, LPNLicensed Practical Nurse South Prince George, VA NPI 1669018875
- Cheryl Edwards Ponton, LPC-RAddiction (Substance Use Disorder) Counselor South Prince George, VA NPI 1699385385
- Claudia Clarke, CSACCounselor South Prince George, VA NPI 1356867089
About NPI 1699218669
Crossroads Treatment Center of Petersburg, PC's National Provider Identifier is 1699218669, issued on Nov 23, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in South Prince George, VA. The record was last updated on Sep 3, 2024.