Provider Demographics
NPI:1013105709
Name:CONTINUUM CARE SERVICES, INC.
Entity Type:Organization
Organization Name:CONTINUUM CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:EBONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-784-0753
Mailing Address - Street 1:PO BOX 6331
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-1523
Mailing Address - Country:US
Mailing Address - Phone:704-784-0753
Mailing Address - Fax:704-720-0670
Practice Address - Street 1:801 E BROAD AVE
Practice Address - Street 2:BUILDING 17
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4383
Practice Address - Country:US
Practice Address - Phone:910-410-9992
Practice Address - Fax:910-410-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
NC261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302211Medicaid
NC8302211BMedicaid
NC8302211HMedicaid
NC8302211GMedicaid