| Cornerstone Behavioral Medicine @ Cped Premier | |
|
4515 Premier Dr Suite 402a High Point NC 27265-8357 | |
| (336) 802-2205 | |
| (336) 802-2206 |
| Full Name | Cornerstone Behavioral Medicine @ Cped Premier |
|---|---|
| Speciality | Counselor |
| Location | 4515 Premier Dr, High Point, North Carolina |
| Authorized Official Name and Position | Charles Douglas Mathis (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 3368022536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Behavioral Medicine @ Cped Premier 1701 Westchester Dr Suite 850 High Point NC 27262-7008 Ph: (336) 802-2000 | Cornerstone Behavioral Medicine @ Cped Premier 4515 Premier Dr Suite 402a High Point NC 27265-8357 Ph: (336) 802-2205 |
| NPI Number | 1912251232 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912251232 | NPI | - | NPPES |
| 6008795 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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