Provider Demographics
NPI:1265096077
Name:CONTINUUM HEALTH INNOVATIONS, LLC
Entity type:Organization
Organization Name:CONTINUUM HEALTH INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-290-0337
Mailing Address - Street 1:1050 CROWN POINTE PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7702
Mailing Address - Country:US
Mailing Address - Phone:404-290-0337
Mailing Address - Fax:404-759-2330
Practice Address - Street 1:1050 CROWN POINTE PKWY STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-7702
Practice Address - Country:US
Practice Address - Phone:404-290-0337
Practice Address - Fax:404-759-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251S00000XAgenciesCommunity/Behavioral Health