MEDICARE: CONTINUUM RECOVERY CENTER

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1710410519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUUM RECOVERY CENTER

Provider Business Mailing Address
First Line	:	14040 N CAVE CREEK RD
Second Line	:	SUITE 301
City	:	PHOENIX
State	:	AZ
Zip	:	85022-6117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14040 N CAVE CREEK RD
Second Line	:	SUITE 301
City	:	PHOENIX
State	:	AZ
Zip	:	85022-6117
Country	:	US
Telephone Number	:	602-903-2999
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JACKIE SCHULTE
Credential	:
Telephone Number	:	602-903-2999

Provider Enumeration Date	:	04/07/2017
Last Update Date	:	04/07/2017

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Directions to “CONTINUUM RECOVERY CENTER ” Practice Location

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