Healthcare Provider Details

I. General information

NPI: 1306784954
Provider Name (Legal Business Name): CORNERSTONE CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 WESTLAKE PARK BLVD
HOUSTON TX
77079-2603
US

IV. Provider business mailing address

3343 PEACHTREE RD NE STE 145
ATLANTA GA
30326-1427
US

V. Phone/Fax

Practice location:
  • Phone: 713-838-2028
  • Fax:
Mailing address:
  • Phone: 713-838-2028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: FAWAZ SABA
Title or Position: MANAGER
Credential:
Phone: 301-660-1562