| NPI | 1912251232 |
|---|---|
| Doing Business As | CORNERSTONE BEHAVIORAL MEDICINE @ CPED PREMIER |
| Entity Type | Organization |
| Authorized Contact | CHARLES DOUGLAS MATHIS Chief Administrative Officer 336-802-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2016-11-07 |