Organization
CORNERSTONE OF INDIANAPOLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCO ANTONIO RODRIGUEZ-DIAZ (OWNER)
(317) 643-4600
Entity
Organization
Contact information
Practice address
5610 CRAWFORDSVILLE ROAD, SUITE 1700, INDIANAPOLIS, IN 46224
(317) 643-4600
(317) 643-4610
Mailing address
5610 CRAWFORDSVILLE ROAD, SUITE 1700, INDIANAPOLIS, IN 46224
(317) 429-9201
(317) 672-2264
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
01/17/2017
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