Organization
CORNERSTONE BEHAVIORAL HEALTH SERVICES INC
Active
Other names
Gentlemen of Tomorrow
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE BREEDLOVE (CEO, OWNER)
(804) 248-7367
Entity
Organization
Contact information
Practice address
109 DRUID LN, DANVILLE, VA 24541-4923
(434) 857-5612
(434) 857-5618
Mailing address
212 NORTH UNION STREET, DANVILLE, VA 24541-0000
(434) 334-7065
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1843
VA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1843
VA
Other
Enumeration date
07/27/2015
Last updated
07/22/2020
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