Organization
CORNERSTONE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN ANN O'NEILL (CASE MANAGER)
(608) 935-1649
Entity
Organization
Contact information
Practice address
105 W DIVISION ST, DODGEVILLE, WI 53533-1423
(608) 935-1649
(608) 935-0804
Mailing address
105 W DIVISION ST, DODGEVILLE, WI 53533-1423
(608) 935-1649
(608) 935-0804
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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