NPIMap

Organization Active NPI

Cornerstone Treatment Faciltiy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fairmont, NC
National Provider Identifier
1922445790
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CORNERSTONE TREATMENT FACILTIY
Practice address
13178 NC Highway 130 E
Fairmont, NC 28340-9597
Phone
(877) 472-2302
Fax
(877) 472-2302
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Mr. Frederick D Surgeon
Title
Ceo
Phone
(850) 515-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

13178 NC Highway 130 E
Fairmont, NC 28340-9597

Mailing address

3620 Legion Rd
Hope Mills, NC 28348-8412
Phone (910) 389-0539

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Treatment Facility Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1922445790",
    "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": "910-389-0539",
            "fax_number": "877-472-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13178 NC HIGHWAY 130 E",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283409597",
            "telephone_number": "877-472-2302",
            "fax_number": "877-472-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE TREATMENT FACILTIY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "SURGEON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-515-0220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.