| Cornerstone Community Support Services, Inc. | |
|
831 S Brightleaf Blvd Smithfield NC 27577-4385 | |
| (252) 478-3605 | |
| (252) 478-2516 |
| Full Name | Cornerstone Community Support Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 831 S Brightleaf Blvd, Smithfield, North Carolina |
| Authorized Official Name and Position | Cheryl Mercer (DIRECTOR) |
| Authorized Official Contact | 2524783605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Community Support Services, Inc. Po Box 160 Spring Hope NC 27882-0160 Ph: (252) 478-3605 | Cornerstone Community Support Services, Inc. 831 S Brightleaf Blvd Smithfield NC 27577-4385 Ph: (252) 478-3605 |
| NPI Number | 1790096030 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790096030 | NPI | - | NPPES |
| MHL-064-105 | Other | NC | STATE LICENSE |
| 8302264 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-064-105 (North Carolina) | Primary |
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