Organization
CORNERSTONE TREATMENT FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK SURGEON (CEO)
(910) 733-0617
Entity
Organization
Contact information
Practice address
1958 TURNPIKE ROAD, RAEFORD, NC 28376-8520
(910) 904-7180
(910) 904-7177
Mailing address
733 BARGAIN ST, FAYETTEVILLE, NC 28303-3494
(850) 512-9166
(877) 472-2302
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404565
—
NC
Enumeration date
10/09/2009
Last updated
03/14/2017
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