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Organization

CORNERSTONE URBAN ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHTYN GIBSON (PROJECT DIRECTOR)
(510) 610-9096
Entity
Organization

Contact information

Practice address
3761 HARDING ST, DETROIT, MI 48214-1534
(800) 313-6403
Mailing address
11000 W MCNICHOLS RD STE 323, DETROIT, MI 48221-2393
(800) 313-6403

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
2083P0901X
Public Health & General Preventive Medicine Physician
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
225C00000X
Rehabilitation Counselor
251B00000X
Case Management Agency

Other

Enumeration date
05/04/2026
Last updated
05/09/2026
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