Organization
CORNERSTONE BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER W MORAN PH.D (DIRECTOR)
(774) 253-1573
Entity
Organization
Contact information
Practice address
30 SEVER ST, WORCESTER, MA 01609-2194
(774) 253-1573
Mailing address
30 SEVER ST, WORCESTER, MA 01609-2194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6209
MA
101YM0800X
Mental Health Counselor
7013
MA
101YM0800X
Mental Health Counselor
7534
MA
103TC0700X
Clinical Psychologist
Primary
3358
MA
103TC0700X
Clinical Psychologist
7497
MA
2084P0805X
Geriatric Psychiatry Physician
239917
MA
363L00000X
Nurse Practitioner
RN198309
MA
Other
Enumeration date
01/03/2014
Last updated
01/06/2014
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