OrganizationActive
Cornerstone I Inc.
NPI 1467756221 · Mental Illness Community Based Residential Treatment Facility · Bangor, MI
Provider details
- NPI number
- 1467756221
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tracie Hernandez, Ceo(269) 317-4433
- License
- AM800267076 (MI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense AM800267076 (MI)
Residential Treatment Facilities
Practice location
59859 M 43
Bangor, MI 49013-9617
Phone: (269) 628-2100
Fax: (269) 628-2121
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 277
Bloomingdale, MI 49026-0277
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2011-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.