Organization
CORNERSTONE PROJECT SC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE G. WILSON MA, NCACII (SENIOR VICE PRESIDENT)
(803) 210-9554
Entity
Organization
Contact information
Practice address
1919 HAMPTON ST, COLUMBIA, SC 29201-3535
(803) 764-3798
Mailing address
1919 HAMPTON ST, COLUMBIA, SC 29201-3535
(803) 764-3798
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
261QR405X
SC
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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