Provider Demographics
NPI:1558680629
Name:FAMILY CONTINUITY
Entity Type:Organization
Organization Name:FAMILY CONTINUITY
Other - Org Name:NEW AMERICAN CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DATA SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:MC
Authorized Official - Last Name:DONALD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-927-9410
Mailing Address - Street 1:78 THORNTON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-5133
Mailing Address - Country:US
Mailing Address - Phone:781-308-0327
Mailing Address - Fax:
Practice Address - Street 1:298 UNION STREET
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901
Practice Address - Country:US
Practice Address - Phone:781-593-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management