| Cornerstone Behavioral Care, Llc | |
|
1209a N East St Frederick MD 21701-4624 | |
| (240) 788-3536 | |
| (240) 788-3922 |
| Full Name | Cornerstone Behavioral Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1209a N East St, Frederick, Maryland |
| Authorized Official Name and Position | Jeanne Baleng Okuwobi (OWNER) |
| Authorized Official Contact | 2407883536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Behavioral Care, Llc 2115 Regina Ter Clarksburg MD 20871-8507 Ph: (301) 339-4641 | Cornerstone Behavioral Care, Llc 1209a N East St Frederick MD 21701-4624 Ph: (240) 788-3536 |
| NPI Number | 1740073543 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 10/03/2025 |
| Certification Date | 10/03/2025 |
| Medicare PECOS PAC ID | 8628588167 |
|---|---|
| Medicare Enrollment ID | O20250612001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740073543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jeanne Baleng Okuwobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730989526 PECOS PAC ID: 9537679071 Enrollment ID: I20250612001122 |
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