| Cornerstone Marriage And Family Therapy Corp. | |
|
54425 N Circle Drive Suite 9 And 10 Idyllwild CA 92549-9254 | |
| (760) 207-7486 | |
| Not Available |
| Full Name | Cornerstone Marriage And Family Therapy Corp. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 54425 N Circle Drive, Idyllwild, California |
| Authorized Official Name and Position | Cara Wilkerson (CEO/PRESIDENT/CLINICAL SUPERVISOR) |
| Authorized Official Contact | 7602077486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Marriage And Family Therapy Corp. Po Box 3519 Idyllwild CA 92549-3519 Ph: (760) 207-7486 | Cornerstone Marriage And Family Therapy Corp. 54425 N Circle Drive Suite 9 And 10 Idyllwild CA 92549-9254 Ph: (760) 207-7486 |
| NPI Number | 1497352405 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497352405 | NPI | - | NPPES |
| 1821280983 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Cornerstone Psychotherapy Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54240 Ridgeview Dr., Idyllwild, CA 92549 Phone: 760-207-7486 | |
A Human Sanctuary Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25168 Franklin Dr, Idyllwild, CA 92549 Phone: 808-464-9214 |