Organization
CORNERSTONE SERVICES, INC
Active
Other names
Harvard
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN STORTZ (CEO)
(815) 741-7045
Entity
Organization
Contact information
Practice address
1475 HARVARD DR # 3, KANKAKEE, IL 60901-8451
(815) 823-8412
(815) 823-8431
Mailing address
1475 HARVARD DR # 3, KANKAKEE, IL 60901-8451
(815) 823-8412
(815) 823-8431
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04039
DEPT OF HUMAN SERVICES CERTIFICATION NUMBER
IL
Enumeration date
09/05/2013
Last updated
06/22/2021
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