Healthcare Provider Details

I. General information

NPI: 1508344672
Provider Name (Legal Business Name): CLIENT CARE CONTINUUM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 COUNTY ROAD 3941
ARLEY AL
35541-2681
US

IV. Provider business mailing address

200 COUNTY ROAD 3941 UNIT 1
ARLEY AL
35541-2682
US

V. Phone/Fax

Practice location:
  • Phone: 205-287-5951
  • Fax: 205-803-6315
Mailing address:
  • Phone: 205-287-5951
  • Fax: 205-803-6315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateAL

VIII. Authorized Official

Name: MR. JOHN ALOYSIUS MCDERMOTT
Title or Position: CEO
Credential:
Phone: 205-287-5951