Organization · Type 2 NPI
Cornerstone Support Services, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Providence Forge, VA
Practice location
8921 Pocahontas Trl
Providence Forge, VA 23140-3308
Fax (804) 557-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 1194-01-001 (VA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1285188680
Cornerstone Support Services, Inc.'s National Provider Identifier is 1285188680, issued on Aug 15, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Providence Forge, VA. The record was last updated on Aug 15, 2016.