| Cornerstone Behavioral Health | |
|
555 Fayetteville St Ste 201 Raleigh NC 27601-3034 | |
| (201) 463-0017 | |
| Not Available |
| Full Name | Cornerstone Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 555 Fayetteville St Ste 201, Raleigh, North Carolina |
| Authorized Official Name and Position | Lori Jackson-bogle (CEO) |
| Authorized Official Contact | 2014630017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Behavioral Health 555 Fayetteville St Ste 201 Raleigh NC 27601-3034 Ph: (201) 463-0017 | Cornerstone Behavioral Health 555 Fayetteville St Ste 201 Raleigh NC 27601-3034 Ph: (201) 463-0017 |
| NPI Number | 1255101028 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 7214374305 |
|---|---|
| Medicare Enrollment ID | O20240325003372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255101028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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