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CORNERSTONE MENTAL HEALTH SERVICES

Ambulatory Health Care Facilities Clinic/Center Mental Health (Including Community Mental Health Center)

Provider NPI: 1609327329

Organization Information:
Organization Name:  CORNERSTONE MENTAL HEALTH SERVICES
Organization is not Subpart
Authorized Official:  TERESA  HAMMAKER  NURSE PRACTITIONER  601-942-1148

Practice Location:
2104 CROSSBRIDGE BLVD  BYRAM, MS 39272-8716 US
Tel: 601-487-8630  Fax: --

Business Mailing Address:
2104 CROSSBRIDGE BLVD  BYRAM, MS 39272-8716 US
Tel: 601-487-8630  Fax: --

NPI Information:
NPI: 1609327329
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM0801XAmbulatory Health Care Facilities
Clinic/Center
Mental Health (Including Community Mental Health Center)
MSR875679

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QM0801X

Type:

Classification:



Definition:



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