# CORNERSTONE FAMILY WORSHIP CENTER

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

## Provider details

- **NPI number:** 1508526245
- **Authorized official:** SHIRLEY ROBERSON (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (252) 946-6109

## Contact information

- **Practice address:** 1918 W 5TH ST, WASHINGTON, NC 27889-9095
- **Practice address phone:** (252) 946-6109
- **Mailing address:** PO BOX 1763, WASHINGTON, NC 27889-1763
- **Mailing address phone:** (252) 946-6109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NULL | Yes |
| 101YP1600X | Pastoral Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2021
- **Last updated:** 12/21/2021