Cornerstone Behavioral Medicine @ Cped Premier

LBN: Cornerstone Health Care, Llc
Cornerstone Behavioral Medicine @ Cped Premier is an health care organization with primary practice located at 4515 Premier Dr Suite 402A, High Point NC 27265-8357. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Cornerstone Health Care, Llc can be contacted via phone (336) 802-2205, or through Mathis, Charles Douglas via phone (336) 802-2536.

Contact Information

Primary practice address
4515 Premier Dr Suite 402A High Point NC 27265-8357
Phone: (336) 802-2205
Fax: (336) 802-2206
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Charles Douglas
Phone: (336) 802-2536

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1912251232
LBN Legal business name Cornerstone Health Care, Llc
DBA Doing business as Cornerstone Behavioral Medicine @ Cped Premier
Authorized official Mathis, Charles Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2012
Last updated Nov 7th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912251232 NPPES
North Carolina MEDICAID 6008795

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