NPI 1245531995

Cornerstone II

Organisation Mental Illness Community Based Residential Treatment Facility Kalamazoo, MI

Practice location

Address: 22722 W M 43, Kalamazoo, MI 49009-9208
Phone: (269) 668-7419
Fax: (269) 668-7419
Mailing address: P.O. Box 277, Bloomingdale, MI 49026

Authorised official

Name: Tracie Ann Hernandez
Title: Ceo
Phone: (269) 317-4433

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence AS800309333 (MI)

Other Community Based Residential Treatment Facility, Mental Illness providers in Michigan →

Registry record

NPI: 1245531995
Entity type: Organization
NPI issued: 11 Nov 2010
Record last updated: 11 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.