# CORNERSTONE URBAN ALLIANCE

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

## Provider details

- **NPI number:** 1730026097
- **Authorized official:** ASHTYN GIBSON (PROJECT DIRECTOR)
- **Authorized official phone:** (510) 610-9096

## Contact information

- **Practice address:** 3761 HARDING ST, DETROIT, MI 48214-1534
- **Practice address phone:** (800) 313-6403
- **Mailing address:** 11000 W MCNICHOLS RD STE 323, DETROIT, MI 48221-2393
- **Mailing address phone:** (800) 313-6403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | NULL | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | — | — |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/04/2026
- **Last updated:** 05/09/2026