Organization
CORNERSTONE PROJECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WARD (MANAGING PARTNER)
(937) 522-0961
Entity
Organization
Contact information
Practice address
4124 LINDEN AVE, DAYTON, OH 45432-3018
(937) 522-0961
Mailing address
4124 LINDEN AVE STE 100, DAYTON, OH 45432-3018
(937) 522-0961
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
01/03/2024
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