- Agency Name
- CORNERSTONE SUPPORTED LIVING
- Service Type
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Address
- 3400 E RIVER VALLEY ST APT J202, MERIDIAN, ID 83646
- Phone Number
- (907) 302-8366
- NPI Number
- 1699314443
- Authorized Official
- JAMILA GILLIAM (Administrator)
- Enumeration Date
- 2019-12-26