| Cornerstone Montgomery, Inc. | |
|
2670 Crain Hwy Ste 505 Waldorf MD 20601-2819 | |
| (301) 932-9146 | |
| (301) 932-9361 |
| Full Name | Cornerstone Montgomery, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2670 Crain Hwy Ste 505, Waldorf, Maryland |
| Authorized Official Name and Position | Michael Ostrowski (BILLING MANAGER) |
| 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. 2670 Crain Hwy Ste 505 Waldorf MD 20601-2819 Ph: (301) 932-9146 |
| NPI Number | 1609579614 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609579614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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