Cornerstone Montgomery, Inc.

NPI #1548632193 in Derwood, Maryland

Provider Information

NPI Number: 1548632193
Entity Type: Organization
Organization Name: Cornerstone Montgomery, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: CORNERSTONE MONTGOMERY, INC.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Oct 22, 2015
Last Updated: Oct 22, 2015

Practice Location

Address: 6112 GRANBY RD
City: Derwood
State: Maryland
ZIP Code: 20855-1474
Phone: (301) 330-2108

Authorized Official

Name: GWENDOLYN ZECHA
Title: CFO
Phone: (301) 896-4262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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