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Organization

CORNERSTONE BEHAVIORAL HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK H WILLARD IV CPA (MEMBER, CEO)
(207) 992-0410
Entity
Organization

Contact information

Practice address
157 PARK STREET, SUITE 5, BANGOR, ME 04401-5000
(207) 992-0410
(207) 992-0414
Mailing address
157 PARK STREET, SUITE 5, BANGOR, ME 04401-5000
(207) 992-0410
(207) 992-0414

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
569364
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432911500
ME
Enumeration date
04/24/2008
Last updated
12/14/2010
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