| Cornerstone Montgomery, Inc. | |
|
6040 Southport Dr Bethesda MD 20814-1848 | |
| (301) 493-4200 | |
| (301) 493-6209 |
| Full Name | Cornerstone Montgomery, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6040 Southport Dr, Bethesda, Maryland |
| Authorized Official Name and Position | Wilkoff Susan (UTILIZATION MANAGEMENT DIRECTOR) |
| Authorized Official Contact | 3014934200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Montgomery, Inc. 6040 Southport Dr Bethesda MD 20814-1848 Ph: (301) 493-4200 | Cornerstone Montgomery, Inc. 6040 Southport Dr Bethesda MD 20814-1848 Ph: (301) 493-4200 |
| NPI Number | 1588769947 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 07/21/2022 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588769947 | NPI | - | NPPES |
| 588181100 | Medicaid | MD | |
| 717035000 | Other | MD | BCBS CRISIS SERVICE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |
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