Provider Demographics
NPI:1558427559
Name:CORNERSTONE BEHAVIORAL HEALTH GROUP
Entity type:Organization
Organization Name:CORNERSTONE BEHAVIORAL HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WENIGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:909-234-1580
Mailing Address - Street 1:1430 E COOLEY DR STE 111
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3944
Mailing Address - Country:US
Mailing Address - Phone:909-825-5128
Mailing Address - Fax:909-825-8568
Practice Address - Street 1:1430 E COOLEY DR STE 111
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3944
Practice Address - Country:US
Practice Address - Phone:909-825-5128
Practice Address - Fax:909-825-8568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty