Organization
CORNERSTONE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE S. ELLISON R.N. (ADMINISTRATIVE DIRECTOR)
(641) 856-2606
Entity
Organization
Contact information
Practice address
717 N 18TH ST, SUITE 1, CENTERVILLE, IA 52544-1164
(641) 856-2606
(641) 856-2616
Mailing address
717 N 18TH ST, SUITE 1, CENTERVILLE, IA 52544-1164
(641) 856-2606
(641) 856-2616
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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