Organization
CORNERSTONE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA S. ELLISON R.N. (ADMINISTRATIVE DIRECTOR)
(641) 856-2606
Entity
Organization
Contact information
Practice address
526 N MAIN ST, CENTERVILLE, IA 52544-1432
(641) 856-2606
Mailing address
526 N MAIN ST, CENTERVILLE, IA 52544-1432
(641) 856-2606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IA
Other
Enumeration date
11/14/2006
Last updated
07/24/2008
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