| NPI | 1487998126 |
|---|---|
| Doing Business As | CORNERSTONE BEHAVIORAL MEDICINE PERSONALIZED PRIMARY CARE AT PREMIER |
| Entity Type | Organization |
| Authorized Contact | CHARLES DOUGLAS MATHIS Chief Administrative Officer 336-802-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2017-02-16 |