Provider Demographics
NPI:1073654729
Name:CATHOLIC FAMILY SERVICE
Entity Type:Organization
Organization Name:CATHOLIC FAMILY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. ADMINSTRATIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-753-8446
Mailing Address - Street 1:915 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6603
Mailing Address - Country:US
Mailing Address - Phone:989-892-2504
Mailing Address - Fax:989-892-2504
Practice Address - Street 1:915 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6603
Practice Address - Country:US
Practice Address - Phone:989-892-2504
Practice Address - Fax:989-892-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health