# CORNERSTONE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHNS HOPKINS UNIVERSITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508197120
- **Legal business name:** JOHNS HOPKINS UNIVERSITY
- **Authorized official:** WAN-FANG TAYLOR (DIRECTOR A/R OPERATIONS)
- **Authorized official phone:** (410) 933-2063

## Contact information

- **Practice address:** 4940 EASTERN AVE, JHBMC- MFL BUILDING, SUITE 353E, BALTIMORE, MD 21224-2735
- **Practice address phone:** (410) 550-7680
- **Mailing address:** PO BOX 64260, BALTIMORE, MD 21264-4260
- **Mailing address phone:** (410) 933-2063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 01/21/2010