| Cornerstone Clinical Services, Inc | |
|
1408 W Elder Ave Duncan OK 73533-4022 | |
| (580) 595-7000 | |
| (580) 595-7005 |
| Full Name | Cornerstone Clinical Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1408 W Elder Ave, Duncan, Oklahoma |
| Authorized Official Name and Position | Darrell Smith (PRESIDENT) |
| Authorized Official Contact | 5805957000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Clinical Services, Inc 507 S Willow St Suite B Pauls Valley OK 73075-3849 Ph: (405) 207-9131 | Cornerstone Clinical Services, Inc 1408 W Elder Ave Duncan OK 73533-4022 Ph: (580) 595-7000 |
| NPI Number | 1194191601 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194191601 | NPI | - | NPPES |
| 100747400C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100747400 (Oklahoma) | Primary |
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