Organization
CORNERSTONE PROJECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WARD (MANAGING PARTNER)
(937) 522-0961
Entity
Organization
Contact information
Practice address
4124 LINDEN AVE, SUITE 100, DAYTON, OH 45432-3018
(937) 522-0961
(937) 522-0951
Mailing address
4124 LINDEN AVE, SUITE 100, DAYTON, OH 45432-3018
(937) 522-0961
(937) 522-0951
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
08/30/2012
Last updated
02/07/2018
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