Organization
CORNERSTONE TREATMENT FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK SURGEON (CEO)
(910) 733-0617
Entity
Organization
Contact information
Practice address
129 WALLACE RD, WADESBORO, NC 28170-2434
(704) 695-0601
(704) 695-0607
Mailing address
733 BARGAIN ST, FAYETTEVILLE, NC 28303-3494
(877) 472-2302
(877) 472-2302
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404556
—
NC
Enumeration date
10/08/2009
Last updated
03/14/2017
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