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The Cornerstone Recovery Systems, Inc.
Substance Abuse Rehabilitation Facility in Shasta Lake, California
NPI 1093883555

The Cornerstone Recovery Systems, Inc. is a Substance Abuse Rehabilitation Facility based in Shasta Lake, CA. The Cornerstone Recovery Systems, Inc. practices in Shasta Lake, CA. The NPI Number for The Cornerstone Recovery Systems, Inc. is 1093883555 and holds a License No. 450006AN (California).

The current practice location address for The Cornerstone Recovery Systems, Inc. is 2096 Cascade Blvd, Shasta Lake, CA and can be reached out via phone at 530-275-5622 and via fax at 530-275-5226.

Location: 2096 Cascade Blvd, Shasta Lake, CA, 96079-1012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093883555
Provider Name
The Cornerstone Recovery Systems, Inc.
Credential
Provider Entity Type
Organization
Address
2096 Cascade Blvd, Shasta Lake, CA, 96079-1012
Phone Number
530-275-5622
Fax Number
530-275-5226
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
450006AN 01 CA ADP LICENSE
450006BN 01 CA ADP LICENSE
institution
Provider Business Practice Location Address Details
Address
2096 Cascade Blvd
City
Shasta Lake
State
California
Zip
96019-9308
Phone Number
530-275-5622
Fax Number
530-275-5226
person
Provider Business Mailing Address Details
Address
2096 Cascade Blvd
City
Shasta Lake
State
California
Zip
96019-9308
Phone Number
530-275-5622
Fax Number
530-275-5226
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
450006AN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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