Provider Demographics
NPI:1386356327
Name:CORNERSTONE HEALTH AND THERAPY LLC
Entity type:Organization
Organization Name:CORNERSTONE HEALTH AND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHADRACK
Authorized Official - Middle Name:
Authorized Official - Last Name:ADJUGAH
Authorized Official - Suffix:
Authorized Official - Credentials:BHT
Authorized Official - Phone:602-559-6293
Mailing Address - Street 1:4167 E GLACIER PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-9701
Mailing Address - Country:US
Mailing Address - Phone:602-559-6293
Mailing Address - Fax:
Practice Address - Street 1:4167 E GLACIER PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-9701
Practice Address - Country:US
Practice Address - Phone:602-559-6293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORNERSTONE HEALTH AND THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health