Provider Demographics
NPI:1174841589
Name:YOUTH AND FAMILY CONTINUUM OF CARE, INC.
Entity Type:Organization
Organization Name:YOUTH AND FAMILY CONTINUUM OF CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANQUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-905-0148
Mailing Address - Street 1:7950 NATIONS FORD RD
Mailing Address - Street 2:SUITE D-10
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-8014
Mailing Address - Country:US
Mailing Address - Phone:704-905-0148
Mailing Address - Fax:
Practice Address - Street 1:7950 NATIONS FORD RD
Practice Address - Street 2:D-10
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-8014
Practice Address - Country:US
Practice Address - Phone:704-905-0148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health