| Cornerstone Therapeutic Services | |
|
1016 Geneva Ave Chesapeake VA 23323-4800 | |
| (434) 944-3899 | |
| Not Available |
| Full Name | Cornerstone Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1016 Geneva Ave, Chesapeake, Virginia |
| Authorized Official Name and Position | Krystal Gayle Vaughan (OWNER) |
| Authorized Official Contact | 4349443899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Therapeutic Services 1016 Geneva Ave Chesapeake VA 23323-4800 Ph: (434) 944-3899 | Cornerstone Therapeutic Services 1016 Geneva Ave Chesapeake VA 23323-4800 Ph: (434) 944-3899 |
| NPI Number | 1669114666 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669114666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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