Organization
CORNERSTONE CLINICAL SERVICES, INC
Active
Other names
Cornerstone
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL E. SMITH M.ED (PRESIDENT)
(580) 595-7000
Entity
Organization
Contact information
Practice address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7005
(580) 595-7005
Mailing address
1408 ELDER, DUNCAN, OK 73533-4022
(580) 595-7000
(580) 595-7005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100747400B
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747400B
—
OK
Enumeration date
12/15/2006
Last updated
06/13/2014
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