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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