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Organization

CORNERSTONE CLINICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRELL SMITH (OWNER)
(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
21612
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21612
OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
OK
Enumeration date
03/10/2010
Last updated
03/10/2010
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