| NPI | 1184193658 |
|---|---|
| Former Legal Business Name | CORNERSTONE DETOX AND REHAB |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM MAYFIELD Owner 435-669-4024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2022-02-01 |