| Cornerstone | |
|
505 N Wabash Ave Marion IN 46952-2608 | |
| (765) 662-3971 | |
| Not Available |
| Full Name | Cornerstone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 505 N Wabash Ave, Marion, Indiana |
| Authorized Official Name and Position | Paul Kuczora (CEO) |
| Authorized Official Contact | 7656623971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone 505 N Wabash Ave Marion IN 46952-2608 Ph: (765) 662-3971 | Cornerstone 505 N Wabash Ave Marion IN 46952-2608 Ph: (765) 662-3971 |
| NPI Number | 1053665158 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053665158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34006590A (Indiana) | Primary |
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