CORNERSTONE OF THE PALM BEACHESINC. NPI 1801287842

NPI Information

NPI: 1801287842
Provider Name: CORNERSTONE OF THE PALM BEACHES,INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1551 FORUM PL
BLDG #400 SUITE-D
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 623-7106
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CORNERSTONE OF THE PALM BEACHES,INC. is a rehabilitation and substance use disorder clinic center in West Palm Beach, FL. CORNERSTONE OF THE PALM BEACHES,INC. NPI is 1801287842. The provider is registered as an organization entity type.

The provider's business location address is:

1551 FORUM PL
BLDG #400 SUITE-D
WEST PALM BEACH, FL
ZIP 33401-319
Phone: (561) 623-7106
Fax: (561) 623-7976

The provider's authorized official is Marco Antonio Rodriguez-diaz .
The authorized official title is Ceo and has the following contact phone number (317) 671-4540.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IL 801 A	MEDICARE PIN	FLORIDA
2	0156122-00	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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