Organization
CORNERSTONE CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS ASHLEY GRANT (LMFT CANDIDATE)
(580) 284-8036
Entity
Organization
Contact information
Practice address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7000
Mailing address
3821 NW BELL AVE, LAWTON, OK 73505-4960
(580) 284-8036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1201
OK
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/25/2010
Last updated
06/15/2016
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