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CORNERSTONE COMMUNITY SUPPORT SERVICES INC. NPI 1790096030


NPI Information

NPI: 1790096030
Provider Name: CORNERSTONE COMMUNITY SUPPORT SERVICES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
831 S BRIGHTLEAF BLVD
SMITHFIELD, NC
ZIP 27577
Phone: (252) 478-3605
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CORNERSTONE COMMUNITY SUPPORT SERVICES, INC. is a community behavioral health in Smithfield, NC. The provider is 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. CORNERSTONE COMMUNITY SUPPORT SERVICES, INC. NPI is 1790096030. The provider is registered as an organization entity type.

The provider's business location address is:

831 S BRIGHTLEAF BLVD
SMITHFIELD, NC
ZIP 27577-385
Phone: (252) 478-3605
Fax: (252) 478-2516

The provider's authorized official is Cheryl Mercer .
The authorized official title is Director and has the following contact phone number (252) 478-3605.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 7/1/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthMHL-064-105NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18302264MEDICAIDNORTH CAROLINA
2MHL-064-105OTHERNORTH CAROLINASTATE LICENSE

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

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