Organization
CORNERSTONE MENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLABISI FAFORE (OWNER)
(612) 227-4763
Entity
Organization
Contact information
Practice address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(612) 227-4763
Mailing address
1183 LANIER SPRINGS DR, BUFORD, GA 30518-7272
(612) 227-4763
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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