Organization
CORNERSTONE HEALING CENTER
Active
Parent organization
CORNERSTONE HEALING CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE HEALING CENTER LLC
Authorized official
ESTIL WALLACE (FOUNDER/CEO)
(602) 544-6832
Entity
Organization
Contact information
Practice address
7655 E REDFIELD RD STE 4, SCOTTSDALE, AZ 85260-6907
(800) 480-1781
(612) 326-0569
Mailing address
7655 E REDFIELD RD STE 4, SCOTTSDALE, AZ 85260-6907
(800) 480-1781
(612) 326-0569
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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