Provider Demographics
NPI:1568861201
Name:CORNERSTONE FAMILIES II LLC
Entity type:Organization
Organization Name:CORNERSTONE FAMILIES II LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:KROGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-314-6167
Mailing Address - Street 1:4630 ANTELOPE CREEK ROAD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-314-6167
Mailing Address - Fax:
Practice Address - Street 1:4630 ANTELOPE CREEK ROAD
Practice Address - Street 2:SUITE 140
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-314-6167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty