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Organization

CORNERSTONE HEALTH CARE, LLC

Active
Other names
Cornerstone Behavioral Medicine @ CPED Premier
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES DOUGLAS MATHIS (CHIEF ADMINISTRATIVE OFFICER)
(336) 802-2536
Entity
Organization

Contact information

Practice address
4515 PREMIER DR, SUITE 402A, HIGH POINT, NC 27265-8357
(336) 802-2205
(336) 802-2206
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2000
(336) 802-2534

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6008795
NC
Enumeration date
11/08/2012
Last updated
11/07/2016
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