Organization Active NPI

Crossroads Treatment Centers

  • Specialist
  • Greensboro, NC
National Provider Identifier
1366685364
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NC-10066-M Issued in NC
Legal business name
CROSSROADS TREATMENT CENTERS
Practice address
436 Spring Garden St
Greensboro, NC 27401-2734
Phone
(336) 272-9990
Fax
(336) 574-8378
NPI assigned
Apr 7, 2009
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
TREATMENT CENTERS HOLDCOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Artie Light, C.S.A.C., C.C.S.
Title
Clinic Director
Phone
(336) 272-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NC-10066-M NC Primary

Addresses

Primary practice location

436 Spring Garden St
Greensboro, NC 27401-2734

Mailing address

436 Spring Garden St
Greensboro, NC 27401-2734
Phone (336) 272-9990

National Provider Directory

National Provider Directory
Part of
Crossroads

Locations

436 Spring Garden St
Greensboro, NC 27401
Phone (336) 389-1413

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1366685364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SPRING GARDEN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012734",
            "telephone_number": "336-272-9990",
            "fax_number": "336-574-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 SPRING GARDEN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012734",
            "telephone_number": "336-272-9990",
            "fax_number": "336-574-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TREATMENT CENTERS HOLDCO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "ARTIE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "336-272-9990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.S.A.C., C.C.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "NC-10066-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.