| Organization Name: | CORNERSTONE TREATMENT FACILITY PROGRAM, INC. |
| NPI Number: | 1912221888 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK SURGEON (CEO) |
| Mailing Address: | 703 W 3rd Ave Red Springs |
| State: | NC US |
| Postal Code: | 283771524 |
| Phone Number: | 8505150220 |
| Fax Number: | 8505150260 |
| NPI Enumeration Date: | 03/22/2010 |
| NPI Last Update Date: | 01/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |