Organization
CORNERSTONE TREATMENT FACILITY PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK SURGEON (CEO)
18774722302
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
(877) 472-2302
(850) 515-0260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/22/2010
Last updated
01/28/2011
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