Organization
CORNERSTONE AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE HERNANDEZ (CEO)
(269) 317-4433
Entity
Organization
Contact information
Practice address
633 N FALL RIVER DR, COLDWATER, MI 49036-9170
(269) 317-4433
Mailing address
PO BOX 277, BLOOMINGDALE, MI 49026-0277
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS120281503
MI
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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