Cornerstone Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTC7457 Issued in AZ

Legal business name

CORNERSTONE RECOVERY CENTER

Doing business as

Royal Life Centers

Practice address

655 W Gurley St
Prescott, AZ 86305-3619

Phone

(928) 515-2441

Fax

(928) 771-3705

NPI assigned

Jun 21, 2012

Last updated

May 1, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Frank X Cid

Title

Ceo

Phone

(561) 866-0012

Specialties & licenses 1

Addresses

Other names 1

• Royal Life Centers Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1225391402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S SWINTON AVE",
            "address_2": "APT G",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442377",
            "telephone_number": "928-515-2441",
            "fax_number": "928-771-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053619",
            "telephone_number": "928-515-2441",
            "fax_number": "928-771-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "CID",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-866-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC7457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Life Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.