Organization
THE CORNERSTONE RECOVERING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES COLE (REPRESENTATIVE)
(773) 909-2424
Entity
Organization
Contact information
Practice address
103 W 112TH ST, CHICAGO, IL 60628-4803
(773) 909-2424
Mailing address
9910 S KING DR, CHICAGO, IL 60628-1524
(773) 909-2424
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
C/A-8672-0001-A
IL
Other
Enumeration date
02/07/2017
Last updated
07/25/2023
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