| NPI | 1700128360 |
|---|---|
| Doing Business As | CORNERSTONE BEHAVIORAL MEDICINE @ CARE OUTREACH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES DOUGLAS MATHIS Chief Administrative Officer 336-802-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2016-11-07 |