Provider Demographics
NPI:1093008252
Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-596-3097
Mailing Address - Street 1:1000 HOWARD AVENUE
Mailing Address - Street 2:STE 200
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113
Mailing Address - Country:US
Mailing Address - Phone:504-310-6933
Mailing Address - Fax:504-523-2789
Practice Address - Street 1:8326 APRICOT ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3126
Practice Address - Country:US
Practice Address - Phone:504-861-6343
Practice Address - Fax:504-861-6381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health