| NPI | 1508200387 |
|---|---|
| Doing Business As | CORNERSTONE BEHAVIORAL MEDICINE AT PERSONALIZED LIFE CARE |
| Entity Type | Organization |
| Authorized Contact | CHARLES DOUGLAS MATHIS Chief Administrative Officer 336-802-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2016-11-07 |