Provider Demographics
NPI:1558363127
Name:COUNTY OF UNION
Entity Type:Organization
Organization Name:COUNTY OF UNION
Other - Org Name:CORNERSTONE BEHAVIORAL HEALTH HOSPITAL OF UNION COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY COMPTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-527-4754
Mailing Address - Street 1:40 WATCHUNG WAY
Mailing Address - Street 2:CORNERSTONE ADMINISTRATIVE SUITE
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2600
Mailing Address - Country:US
Mailing Address - Phone:908-771-5705
Mailing Address - Fax:908-771-5820
Practice Address - Street 1:40 WATCHUNG WAY
Practice Address - Street 2:CORNERSTONE ADMINISTRATIVE SUITE
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2600
Practice Address - Country:US
Practice Address - Phone:908-771-5705
Practice Address - Fax:908-771-5820
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF UNION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-12
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ528580Medicare PIN