Provider Demographics
NPI:1093382756
Name:CORNERSTONE KAZEN CO.
Entity type:Organization
Organization Name:CORNERSTONE KAZEN CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY-TOOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-505-1345
Mailing Address - Street 1:1835 7TH ST NW STE 126
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3107
Mailing Address - Country:US
Mailing Address - Phone:202-505-1345
Mailing Address - Fax:
Practice Address - Street 1:1835 7TH ST NW STE 126
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3107
Practice Address - Country:US
Practice Address - Phone:202-505-1345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty