Organization
CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WILSON (OWNER)
(877) 472-2302
Entity
Organization
Contact information
Practice address
703 W 3RD AVE, RED SPRINGS, NC 28377-1524
(850) 515-0220
(850) 515-0260
Mailing address
1125 PONY DR, HOPE MILLS, NC 28348-9159
(850) 515-0220
(850) 515-0260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
02/08/2011
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