MEDICARE: FAMILY CONTINUITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	113058	MA

General Provider Information

NPI Number	:	1659408854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CONTINUITY

Provider Business Mailing Address
First Line	:	7 RANTOUL ST
Second Line	:	SUITE 208
City	:	BEVERLY
State	:	MA
Zip	:	01915-4822
Country	:	US
Telephone Number	:	978-927-9260
Fax Number	:	978-232-1115

Provider Business Practice Location Address
First Line	:	7 RANTOUL ST
Second Line	:	SUITE 208
City	:	BEVERLY
State	:	MA
Zip	:	01915-4822
Country	:	US
Telephone Number	:	978-927-9260
Fax Number	:	978-232-1115

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	PHYLLIS-ANN MORRISSEY
Credential	:	LICSW
Telephone Number	:	978-927-9260

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/11/2008

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Directions to “FAMILY CONTINUITY ” Practice Location

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