Provider Demographics
NPI:1194074286
Name:CONTINUUM CARE SERVICES, INC.
Entity type:Organization
Organization Name:CONTINUUM CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EBONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-665-7499
Mailing Address - Street 1:PO BOX 6331
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-1523
Mailing Address - Country:US
Mailing Address - Phone:704-510-2662
Mailing Address - Fax:888-539-4753
Practice Address - Street 1:10150 MALLARD CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4507
Practice Address - Country:US
Practice Address - Phone:704-510-2662
Practice Address - Fax:704-510-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2347873OtherMEDICARE