Organization
CORNERSTONE ADVOCACY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAY MATHEWS PSYD, LICSW (PROGRAM MANAGER)
(952) 646-6507
Entity
Organization
Contact information
Practice address
1000 EAST 80TH ST, BLOOMINGTON, MN 55420
(952) 884-0376
(952) 884-2135
Mailing address
1000 EAST 80TH ST, BLOOMINGTON, MN 55420
(952) 884-0376
(952) 884-2135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13053
MN
Other
Enumeration date
10/01/2007
Last updated
05/05/2017
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