# CORNERSTONE HEALTH CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Behavioral Medicine @ Care Outreach Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700128360
- **Authorized official:** CHARLES DOUGLAS MATHIS (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (336) 802-2536

## Contact information

- **Practice address:** 1208 EASTCHESTER DR, SUITE 107A, HIGH POINT, NC 27265-3170
- **Practice address phone:** (336) 802-2291
- **Practice address fax:** (336) 802-2292
- **Mailing address:** 1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
- **Mailing address phone:** (336) 802-2400
- **Mailing address fax:** (336) 802-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2013
- **Last updated:** 11/07/2016