Organization
CORNERSTONE COMMUNITY OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAQUOIA L SPAIN (ADMINISTRATOR)
(704) 817-7786
Entity
Organization
Contact information
Practice address
5700 EXECUTIVE CENTER DR, SUITE 214, CHARLOTTE, NC 28212-8858
(704) 817-7786
(704) 817-7614
Mailing address
PO BOX 327, PAW CREEK, NC 28130-0327
(704) 817-7786
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/30/2015
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