Organization
CORNERSTONE COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MERCER (DIRECTOR)
(252) 478-3605
Entity
Organization
Contact information
Practice address
127B WEST MAIN STREET, SPRINGHOPE, NC 27882-9424
(252) 478-3605
(252) 478-3718
Mailing address
127B WEST MAIN STREET, SPRINGHOPE, NC 27882-9424
(252) 235-2536
(252) 235-2816
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-064-105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-064-109
DHHS/DHSR LICENSE
NC
Enumeration date
03/06/2009
Last updated
01/07/2010
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