Provider Demographics
NPI:1003082371
Name:CATHOLIC CHARITIES OF THE DIOCESE OF ALLENTOWN
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF THE DIOCESE OF ALLENTOWN
Other - Org Name:CATHOLIC CHARITIES, ALLENTOWN
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAKUGINOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-435-1541
Mailing Address - Street 1:402 CHEW ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3581
Mailing Address - Country:US
Mailing Address - Phone:610-435-1541
Mailing Address - Fax:610-435-4367
Practice Address - Street 1:402 CHEW ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3581
Practice Address - Country:US
Practice Address - Phone:610-435-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES OF THE DIOCESE OF ALLENTOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-06
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health