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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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