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CORNERSTONE HEALING CENTER LLC NPI 1154823680


NPI Information

NPI: 1154823680
Provider Name: CORNERSTONE HEALING CENTER, LLC

Doing Business As: CORNERSTONE HEALING CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 03D2142384

Address:
16444 N 91ST ST
SCOTTSDALE, AZ
ZIP 85260
Phone: (800) 480-1781
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CORNERSTONE HEALING CENTER, LLC is a rehabilitation and substance use disorder clinic center in Scottsdale, AZ. CORNERSTONE HEALING CENTER, LLC NPI is 1154823680. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cornerstone Healing Center.

The provider's business location address is:

16444 N 91ST ST
SCOTTSDALE, AZ
ZIP 85260-567
Phone: (800) 480-1781
Fax: (480) 590-7303

The provider's authorized official is Estil Wallace .
The authorized official title is Ceo and has the following contact phone number (800) 480-1781.

The CLIA number assigned to this NPI record is 03D2142384 - other - otc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 9/20/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
6324500000XSubstance Abuse Rehabilitation FacilityNo
7261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.