Organization
CORNERSTONE MONTGOMERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILKOFF SUSAN (UTILIZATION MANAGEMENT DIRECTOR)
(301) 493-4200
Entity
Organization
Contact information
Practice address
6040 SOUTHPORT DR, BETHESDA, MD 20814-1848
(301) 493-4200
(301) 493-6209
Mailing address
6040 SOUTHPORT DR, BETHESDA, MD 20814-1848
(301) 493-4200
(301) 493-6209
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588181100
—
MD
01
—
717035000
BCBS CRISIS SERVICE #
MD
Enumeration date
09/13/2006
Last updated
07/21/2022
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