Organization
CORNERSTONE CLINICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BESSIE L. JASPER MS.,CM., LADC (BHRS)
(580) 595-7000
Entity
Organization
Contact information
Practice address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7000
(580) 595-7005
Mailing address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7000
(580) 595-7005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
21616
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21616
CASEMANAGEMENT
OK
Enumeration date
02/19/2010
Last updated
02/19/2010
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