| Cornerstone Montgomery, Inc. | |
|
41900 Fenwick St Ste 5 Leonardtown MD 20650-3815 | |
| (301) 475-9315 | |
| (301) 475-9317 |
| Full Name | Cornerstone Montgomery, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 41900 Fenwick St Ste 5, Leonardtown, Maryland |
| Authorized Official Name and Position | Michael Ostrowski (BILLING MANAGER) |
| Authorized Official Contact | 3014934200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Montgomery, Inc. 2 Taft Ct Ste 200 Rockville MD 20850-1390 Ph: (301) 715-3673 | Cornerstone Montgomery, Inc. 41900 Fenwick St Ste 5 Leonardtown MD 20650-3815 Ph: (301) 475-9315 |
| NPI Number | 1073223293 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073223293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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