Organization Name: | CORNERSTONE COUNSELING CENTER |
NPI Number: | 1033281084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA S. ELLISON (ADMINISTRATIVE DIRECTOR) |
Mailing Address: | 526 N Main St Centerville |
State: | IA US |
Postal Code: | 525441432 |
Phone Number: | 6418562606 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |