Provider Demographics
NPI:1992414544
Name:CORNERSTONE MONTGOMERY, INC.
Entity type:Organization
Organization Name:CORNERSTONE MONTGOMERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-493-4200
Mailing Address - Street 1:2 TAFT CT STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1390
Mailing Address - Country:US
Mailing Address - Phone:301-715-3673
Mailing Address - Fax:888-496-8354
Practice Address - Street 1:55 ARMORY RD
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4118
Practice Address - Country:US
Practice Address - Phone:410-535-4787
Practice Address - Fax:410-535-4965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness