Cornerstone Treatment Facility Inc

Organization Active NPI Child & Adolescent Psychiatry Physician · Wadesboro, NC

NPI 1770744401 · NPPES record last updated Jun 25, 2008

Key facts

NPI
1770744401
Entity type
Organization (NPI type 2)
Primary specialty
Child & Adolescent Psychiatry Physician 2084P0804X
Legal business name
CORNERSTONE TREATMENT FACILITY INC
Practice address
129 Wallace Road
Wadesboro, NC 28170-2434
Phone
(910) 266-8891
Fax
(910) 277-2924
NPI assigned
Jun 25, 2008
Organization subpart
No

Authorized official

Name
Mr. Fred Sugeon
Title
Ceo
Phone
(910) 733-0617

Corporate family (same tax ID) 7

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

National Provider Directory

Tax ID family
Cornerstone Treatment Facility Inc (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X
Child & Adolescent Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0804X Yes

Addresses

Primary practice location

129 Wallace Road
Wadesboro, NC 28170-2434

Mailing address

11641 Johns Rd
Laurinburg, NC 28352-8351
Phone (910) 266-8891

Other providers in Wadesboro, NC

All providers in Wadesboro, NC · Child & Adolescent Psychiatry Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.