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Organization
CORNERSTONE COMMUNITY LIVING INC.
Active
Organization
CORNERSTONE COMMUNITY LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER ELIJAH JACKSON JR. PROVIDER (DIRECTOR PROGRAM MANAGER)
(281) 687-2173
Entity
Organization
Contact information
Practice address
5918 HAVENWOODS DR, HOUSTON, TX 77066-2335
(281) 687-2173
(281) 580-4962
Mailing address
5918 HAVENWOODS DR, HOUSTON, TX 77066-2335
(281) 687-2173
(281) 580-4962
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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