20D2168698 CLIA NUMBER - CORNERSTONE BEHAVIORAL HEALTHCARE

Laboratory Demographics

CLIA Number: 20D2168698

Facility Name: CORNERSTONE BEHAVIORAL HEALTHCARE

Facility Address:
157 PARK STREET, STE 21
BANGOR, ME
ZIP 04401
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Facility Phone Number: 207 992-0410

Facility Type: Other - MENTAL HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1215102850

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	20D2168698
LAB Type	Other - MENTAL HEALTH AGENCY
Facility Name	CORNERSTONE BEHAVIORAL HEALTHCARE
Street	157 PARK STREET, STE 21
City	BANGOR
State	ME
ZIP	04401
Phone	207 992-0410
CertificateType	4
CertificateEffectiveDate	7/8/2023
CertificateExpirationDate	7/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024