Organization
CORNERSTONE SERVICE INTERVENTION SYSTEMS
Active
Other names
CORNERSTONE Child and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER LEWIS STONE JR. MS (DIRECTOR)
(757) 464-2470
Entity
Organization
Contact information
Practice address
4620 HAYGOOD RD STE 6, VIRGINIA BEACH, VA 23455-5401
(757) 464-2470
Mailing address
4620 HAYGOOD RD STE 6, VIRGINIA BEACH, VA 23455-5401
(757) 464-2470
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
915 05 001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DMHMRSAS
LICENSE # 915 05 001
VA
Enumeration date
05/03/2007
Last updated
11/22/2013
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