Provider Demographics
NPI:1023378395
Name:YOUTH CONTINUUM
Entity Type:Organization
Organization Name:YOUTH CONTINUUM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-562-3396
Mailing Address - Street 1:24 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-4317
Mailing Address - Country:US
Mailing Address - Phone:203-562-3396
Mailing Address - Fax:203-867-5888
Practice Address - Street 1:24 RIVER ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-4317
Practice Address - Country:US
Practice Address - Phone:203-562-3396
Practice Address - Fax:203-867-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency