Organization
CORNERSTONE SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH L CAVE (CEO/CFO)
(804) 932-3333
Entity
Organization
Contact information
Practice address
8921 POCAHONTAS TRL, PROVIDENCE FORGE, VA 23140-3308
(804) 932-3333
(804) 557-3941
Mailing address
8921 POCAHONTAS TRL, PROVIDENCE FORGE, VA 23140-3308
(804) 932-3333
(804) 557-3941
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1194-01-001
VA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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