CORNERSTONE HEALING CENTER NPI 1780203794

NPI Information

  • NPI: 1780203794
  • Provider Name: CORNERSTONE HEALING CENTER
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 7655 E REDFIELD RD STE 4
    SCOTTSDALE, AZ
    ZIP 85260
  • Phone: (800) 480-1781

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NPI Details

CORNERSTONE HEALING CENTER is an addiction medicine family medicine in Scottsdale, AZ. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CORNERSTONE HEALING CENTER NPI is 1780203794. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7655 E REDFIELD RD STE 4
SCOTTSDALE, AZ
ZIP 85260-907
Phone: (800) 480-1781
Fax: (612) 326-0569

The provider's authorized official is Estil Wallace .
The authorized official title is Founder/ceo and has the following contact phone number (602) 544-6832.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.

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
1225XM0800XOccupational TherapistMental HealthNo
2225XP0019XOccupational TherapistPhysical RehabilitationNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
4207QA0401XFamily MedicineAddiction MedicineYes

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: 3/30/2025

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