Provider Demographics
NPI:1780792317
Name:CONTINUUM BAYTOWN CMHC, LLC
Entity type:Organization
Organization Name:CONTINUUM BAYTOWN CMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:EDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:713-271-0000
Mailing Address - Street 1:2001 CEDAR BAYOU ROAD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3724
Mailing Address - Country:US
Mailing Address - Phone:281-420-6900
Mailing Address - Fax:281-420-6990
Practice Address - Street 1:2001 CEDAR BAYOU ROAD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3724
Practice Address - Country:US
Practice Address - Phone:281-420-6900
Practice Address - Fax:281-420-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX454920261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX454920Medicare Oscar/Certification