# CORNERSTONE TREATMENT FACILITY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285969279
- **Authorized official:** MR. FREDERICK SURGEON (CEO)
- **Authorized official phone:** (910) 733-0617

## Contact information

- **Practice address:** 129 WALLACE RD, WADESBORO, NC 28170-2434
- **Practice address phone:** (704) 695-0601
- **Practice address fax:** (704) 695-0607
- **Mailing address:** 733 BARGAIN ST, FAYETTEVILLE, NC 28303-3494
- **Mailing address phone:** (877) 472-2302
- **Mailing address fax:** (877) 472-2302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 03/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3404556 | — | NC |