| Cornerstone Behavioral Health Inc. | |
|
30 Sever St Worcester MA 01609-2194 | |
| (774) 253-1573 | |
| Not Available |
| Full Name | Cornerstone Behavioral Health Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 30 Sever St, Worcester, Massachusetts |
| Authorized Official Name and Position | Peter W Moran (DIRECTOR) |
| Authorized Official Contact | 7742531573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Behavioral Health Inc. 30 Sever St Worcester MA 01609-2194 Ph: () - | Cornerstone Behavioral Health Inc. 30 Sever St Worcester MA 01609-2194 Ph: (774) 253-1573 |
| NPI Number | 1902227275 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/06/2014 |
| Medicare PECOS PAC ID | 9537472642 |
|---|---|
| Medicare Enrollment ID | O20150720000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902227275 | NPI | - | NPPES |
| Provider Name | Peter W Moran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700809399 PECOS PAC ID: 9133028376 Enrollment ID: I20080103000414 |
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