Healthcare Provider Details

I. General information

NPI: 1164665790
Provider Name (Legal Business Name): CONTINUUM CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 03/24/2022
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2783 NC HIGHWAY 68 S STE 104
HIGH POINT NC
27265-8325
US

IV. Provider business mailing address

PO BOX 6331
CONCORD NC
28027-1523
US

V. Phone/Fax

Practice location:
  • Phone: 336-854-2560
  • Fax: 336-854-2564
Mailing address:
  • Phone: 704-510-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. EBONIQUE MORMAN
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 704-665-7499