Organization
CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
Active
Parent organization
CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
Other names
Cornerstone Treatment Facility Program, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
Authorized official
FRED D SURGEON (CEO)
(910) 733-0617
Entity
Organization
Contact information
Practice address
778 HOFFMAN RD, WEST END, NC 27376-9029
(850) 512-9166
(877) 472-2302
Mailing address
2990 SUNNYSIDE SCHOOL RD, FAYETTEVILLE, NC 28312-6914
(850) 512-9166
(877) 472-2302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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