| Cornerstone Treatment Facility Program, Inc. | |
|
703 W 3rd Ave Red Springs NC 28377-1524 | |
| (850) 515-0220 | |
| (850) 515-0260 |
| Full Name | Cornerstone Treatment Facility Program, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 703 W 3rd Ave, Red Springs, North Carolina |
| Authorized Official Name and Position | Thomas Wilson (OWNER) |
| Authorized Official Contact | 8774722302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Treatment Facility Program, Inc. 1125 Pony Dr Hope Mills NC 28348-9159 Ph: (850) 515-0220 | Cornerstone Treatment Facility Program, Inc. 703 W 3rd Ave Red Springs NC 28377-1524 Ph: (850) 515-0220 |
| NPI Number | 1891010088 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891010088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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