Provider Demographics
NPI:1831567148
Name:CORNERSTONE BEHAVIORAL HEALTH, INC.
Entity type:Organization
Organization Name:CORNERSTONE BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCGUCKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT PSYD
Authorized Official - Phone:714-473-5884
Mailing Address - Street 1:3008 EAST CHAPEL HILL RD.
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1901
Mailing Address - Country:US
Mailing Address - Phone:714-473-5884
Mailing Address - Fax:714-282-8016
Practice Address - Street 1:985 MEADOW BROOK RD.
Practice Address - Street 2:SUITE B
Practice Address - City:LAKE ARROWHEAD
Practice Address - State:CA
Practice Address - Zip Code:92352-0985
Practice Address - Country:US
Practice Address - Phone:714-473-5884
Practice Address - Fax:714-282-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty