CORNERSTONE CLINIC NPI 1508197120

NPI Information

  • NPI: 1508197120
  • Provider Name: CORNERSTONE CLINIC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 4940 EASTERN AVE
    JHBMC- MFL BUILDING, SUITE 353E
    BALTIMORE, MD
    ZIP 21224
  • Phone: (410) 550-7680

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NPI Details

CORNERSTONE CLINIC is an addiction (substance use disorder) counselor in Baltimore, MD. CORNERSTONE CLINIC NPI is 1508197120. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4940 EASTERN AVE
JHBMC- MFL BUILDING, SUITE 353E
BALTIMORE, MD
ZIP 21224-735
Phone: (410) 550-7680

The provider's authorized official is Wan-fang Taylor .
The authorized official title is Director A/r Operations and has the following contact phone number (410) 933-2063.

The enumeration date for this NPI number is 1/21/2010 and was last updated on 1/21/2010.

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
11041C0700XSocial WorkerClinicalNo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 11/21/2025

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