Organization
CEDAR BAYOU MEDICAL CLINIC, LLC
Active
Parent organization
CONTINUUM CLINICAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONTINUUM CLINICAL SERVICES, LLC
Authorized official
WILLIAM B ROUSE (CHIEF FINANCIAL OFFICER)
(615) 376-6200
Entity
Organization
Contact information
Practice address
2001 CEDAR BAYOU RD, BAYTOWN, TX 77520-3724
(281) 420-6900
Mailing address
750 OLD HICKORY BLVD, SUITE 2-100, BRENTWOOD, TN 37027-4528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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