# CORNERSTONE TREATMENT FACILITY, INC.

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

## Provider details

- **NPI number:** 1437483872
- **Authorized official:** FREDERICK SURGEON (CEO)
- **Authorized official phone:** (910) 733-0617

## Contact information

- **Practice address:** 129 WALLACE ROAD, WADESBORO, NC 28170-2434
- **Practice address phone:** (910) 322-9817
- **Practice address fax:** (850) 515-0260
- **Mailing address:** 3195 SELHURST CT, FAYETTEVILLE, NC 28306-7542
- **Mailing address phone:** (850) 515-0220
- **Mailing address fax:** (850) 515-0260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 10/01/2009