Organization
CORNERSTONE CLINICAL SERVICES, INC
Active
Parent organization
CORNERSTONE CLINICAL SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE CLINICAL SERVICES, INC.
Authorized official
MR. DARRELL EUGENE SMITH M.ED. (PRESIDENT)
(580) 595-7000
Entity
Organization
Contact information
Practice address
1408 W ELK AVE, DUNCAN, OK 73533-3736
(580) 595-7000
(580) 595-7005
Mailing address
1408 W ELDER AVE, DUNCAN, OK 73533-4022
(580) 470-8898
(580) 786-2786
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100747400A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747400A
—
OK
Enumeration date
06/26/2007
Last updated
11/28/2016
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