Healthcare Provider Details

I. General information

NPI: 1013105709
Provider Name (Legal Business Name): CONTINUUM CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E BROAD AVE BUILDING 17
ROCKINGHAM NC
28379-4383
US

IV. Provider business mailing address

PO BOX 6331
CONCORD NC
28027-1523
US

V. Phone/Fax

Practice location:
  • Phone: 910-410-9992
  • Fax: 910-410-9980
Mailing address:
  • Phone: 704-784-0753
  • Fax: 704-720-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS EBONIQUE MORMAN
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 704-784-0753