| Continuum Care Services, Inc. | |
|
801 E Broad Ave Building 17 Rockingham NC 28379-4383 | |
| (910) 410-9992 | |
| (910) 410-9980 |
| Full Name | Continuum Care Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 801 E Broad Ave, Rockingham, North Carolina |
| Authorized Official Name and Position | Ebonique Morman (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7047840753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Continuum Care Services, Inc. Po Box 6331 Concord NC 28027-1523 Ph: (704) 784-0753 | Continuum Care Services, Inc. 801 E Broad Ave Building 17 Rockingham NC 28379-4383 Ph: (910) 410-9992 |
| NPI Number | 1013105709 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6305989807 |
|---|---|
| Medicare Enrollment ID | O20100205000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013105709 | NPI | - | NPPES |
| 8302211 | Medicaid | NC | |
| 8302211B | Medicaid | NC | |
| 8302211H | Medicaid | NC | |
| 8302211G | Medicaid | NC |
| Provider Name | Vivian A Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811229362 PECOS PAC ID: 8022314426 Enrollment ID: I20160310002257 |
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