Cornerstone Support Services, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Providence Forge, VA
NPI 1285188680 · NPPES record last updated Aug 15, 2016
Key facts
- NPI
- 1285188680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 1194-01-001 (VA)
- Legal business name
- CORNERSTONE SUPPORT SERVICES, INC.
- Practice address
- 8921 Pocahontas TRL
Providence Forge, VA 23140-3308 - Phone
- (804) 932-3333
- Fax
- (804) 557-3941
- NPI assigned
- Aug 15, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Elizabeth L Cave
- Title
- Ceo/Cfo
- Phone
- (804) 932-3333
National Provider Directory
Locations
8921 Pocahontas Trl
Providence Forge, VA 23140
Phone (804) 932-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 1194-01-001 | VA | Yes |
Addresses
Primary practice location
8921 Pocahontas TRL
Providence Forge, VA 23140-3308
Mailing address
8921 Pocahontas TRL
Providence Forge, VA 23140-3308
Phone (804) 932-3333
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- Camryn Elise Cooper
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All providers in Providence Forge, VA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2016. 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.