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Organization
CORNERSTONE BEHAVIORAL HEALTH
Active
Organization
CORNERSTONE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R. FEDERICI MA, LAC (CO-OWNER)
(609) 420-6849
Entity
Organization
Contact information
Practice address
2001 LINCOLN DR W STE A, MARLTON, NJ 08053-1531
(856) 446-1293
Mailing address
2001 LINCOLN DR W STE A, MARLTON, NJ 08053-1531
(856) 446-1293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013118827
ROBERT HAYNES
NJ
01
—
1255094082
ANTHONY FEDERICI
NJ
01
—
1841954161
NICOLE KOZAK
NJ
Enumeration date
12/07/2021
Last updated
01/05/2022
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