NPIMap

Organization Active NPI

Cornerstone Treatment Facility Program, Inc.

  • Psychiatric Residential Treatment Facility
  • Red Springs, NC
National Provider Identifier
1669796520
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
Practice address
703 W 3Rd Ave
B
Red Springs, NC 28377-1524
Phone
(910) 228-0543
Fax
(850) 515-0260
NPI assigned
Mar 22, 2010
Last updated
Dec 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Thomas Wilson, MD
Title
Ceo
Phone
(910) 228-0543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

703 W 3Rd Ave
B
Red Springs, NC 28377-1524

Mailing address

3620 Legion Rd
Hope Mills, NC 28348-8412
Phone (910) 228-0543

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Treatment Facility Program Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

703 W 3rd Ave
#B
Red Springs, NC 28377
Phone (850) 515-0220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1669796520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 LEGION RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488412",
            "telephone_number": "910-228-0543",
            "fax_number": "850-515-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W 3RD AVE",
            "address_2": "B",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771524",
            "telephone_number": "910-228-0543",
            "fax_number": "850-515-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE TREATMENT FACILITY PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-228-0543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.