# CORNERSTONE TREATMENT FACILTIY

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

## Provider details

- **NPI number:** 1922445790
- **Authorized official:** MR. FREDERICK D SURGEON (CEO)
- **Authorized official phone:** (850) 515-0220

## Contact information

- **Practice address:** 13178 NC HIGHWAY 130 E, FAIRMONT, NC 28340-9597
- **Practice address phone:** (877) 472-2302
- **Practice address fax:** (877) 472-2302
- **Mailing address:** 3620 LEGION RD, HOPE MILLS, NC 28348-8412
- **Mailing address phone:** (910) 389-0539
- **Mailing address fax:** (877) 472-2302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013