Organization
CORNERSTONE COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MERCER (DIRECTOR)
(252) 478-3605
Entity
Organization
Contact information
Practice address
831 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4385
(252) 478-3605
(252) 478-2516
Mailing address
PO BOX 160, SPRING HOPE, NC 27882-0160
(252) 478-3605
(252) 478-3618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-064-105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302264
—
NC
01
—
MHL-064-105
STATE LICENSE
NC
Enumeration date
07/01/2010
Last updated
07/01/2010
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