Organization
CORNERSTONE CLINICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL SMITH (PRESIDENT)
(580) 595-7000
Entity
Organization
Contact information
Practice address
1408 W ELDER AVE, DUNCAN, OK 73533-4022
(580) 595-7000
(580) 595-7005
Mailing address
507 S WILLOW ST, SUITE B, PAULS VALLEY, OK 73075-3849
(405) 207-9131
(888) 411-3004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100747400
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747400C
—
OK
Enumeration date
08/19/2015
Last updated
09/30/2015
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