Organization
CORNERSTONE HEALING CENTER, LLC
Active
Other names
Cornerstone Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ESTIL WALLACE (CEO)
(800) 480-1781
Entity
Organization
Contact information
Practice address
16444 N 91ST ST, SCOTTSDALE, AZ 85260-1567
(800) 480-1781
(480) 590-7303
Mailing address
16444 N 91ST ST, SCOTTSDALE, AZ 85260-1567
(800) 480-1781
(804) 590-7303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/28/2018
Last updated
09/20/2021
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