Cornerstone Treatment Facility Program, Inc.

Organization Active NPI Child & Adolescent Psychiatry Physician · Red Springs, NC

NPI 1891010088 · NPPES record last updated Feb 8, 2011

Key facts

NPI
1891010088
Entity type
Organization (NPI type 2)
Primary specialty
Child & Adolescent Psychiatry Physician 2084P0804X
Legal business name
CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
Practice address
703 W 3Rd Ave
Red Springs, NC 28377-1524
Phone
(850) 515-0220
Fax
(850) 515-0260
NPI assigned
Mar 31, 2010
Organization subpart
No

Authorized official

Name
Thomas Wilson
Title
Owner
Phone
(877) 472-2302

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Cornerstone Treatment Facility Program Inc (9 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

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

Mailing address

1125 Pony Dr
Hope Mills, NC 28348-9159
Phone (850) 515-0220

Other providers in Red Springs, NC

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

Sources for this page

Verify at the official NPI Registry.