Provider Demographics
NPI:1659408854
Name:FAMILY CONTINUITY
Entity Type:Organization
Organization Name:FAMILY CONTINUITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-927-9260
Mailing Address - Street 1:7 RANTOUL ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4822
Mailing Address - Country:US
Mailing Address - Phone:978-927-9260
Mailing Address - Fax:978-232-1115
Practice Address - Street 1:7 RANTOUL ST
Practice Address - Street 2:SUITE 208
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4822
Practice Address - Country:US
Practice Address - Phone:978-927-9260
Practice Address - Fax:978-232-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113058251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health