Provider Demographics
NPI:1669765921
Name:CORNERSTONE TREATMENT FACILITY PROGRAM INC,
Entity type:Organization
Organization Name:CORNERSTONE TREATMENT FACILITY PROGRAM INC,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING AND ENROLLMENT SPEC.
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-512-9166
Mailing Address - Street 1:2990 SUNNYSIDE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-6914
Mailing Address - Country:US
Mailing Address - Phone:850-512-9166
Mailing Address - Fax:877-472-2302
Practice Address - Street 1:778 HOFFMAN ROAD
Practice Address - Street 2:
Practice Address - City:JACKSON SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27281-9999
Practice Address - Country:US
Practice Address - Phone:877-472-2302
Practice Address - Fax:877-472-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty