Organization
CONTINUUM WELLNESS CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYSTRA EASTLYN WILLIAMS (CLINICAL DIRECTOR/CEO)
(410) 788-6727
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY STE 405, GLEN BURNIE, MD 21061-3092
(410) 788-6727
(410) 788-6729
Mailing address
2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228-6204
(410) 788-6727
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870014101
—
MD
Enumeration date
12/05/2019
Last updated
12/05/2019
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