Cornerstone Treatment Facility Program, Inc.
Organization Active NPI Psychiatric Residential Treatment Facility · West End, NC
NPI 1144512468 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1144512468
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- Legal business name
- CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
- Practice address
- 778 Hoffman Rd
West End, NC 27376-9029 - Phone
- (877) 472-2302
- Fax
- (877) 472-2302
- NPI assigned
- May 4, 2011
- Organization subpart
- No
Authorized official
- Name
- April Parker
- Title
- Billing / Enrollment Spec
- Phone
- (850) 512-9166
Corporate family (same tax ID) 8
Practitioners 1
-
Thomas A. Wilson, M.D.
National Provider Directory
- Tax ID family
- Cornerstone Treatment Facility Program Inc
Locations
733 Bargain St
Fayetteville, NC 28303
778 Hoffman Rd
West End, NC 27376
Phone (850) 512-9166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Yes |
Addresses
Primary practice location
778 Hoffman Rd
West End, NC 27376-9029
Mailing address
2990 Sunnyside School Rd
Fayetteville, NC 28312-6914
Phone (850) 512-9166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144512468 | Medicaid | NC | |
| 3404583 | Medicaid | NC |
Other providers in West End, NC
- CNC Access Inc
- CNC Access, Inc.
- Sara Collett
- Community Pride Assisted Living, LLC
- Jamila Rashida Cooper
- Cornerstone Treatment Facility Program, Inc.
- Christina Davenport
- Kimberly Dawn Davis
- Ulanda Davis
- Farrah Delgado
All providers in West End, NC · Psychiatric Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.