Provider Demographics
NPI:1164511358
Name:NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC. (NVCSS)
Entity Type:Organization
Organization Name:NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC. (NVCSS)
Other - Org Name:NVCSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-241-0552
Mailing Address - Street 1:2400 WASHINGTON AVE.
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2802
Mailing Address - Country:US
Mailing Address - Phone:530-241-0552
Mailing Address - Fax:530-241-6457
Practice Address - Street 1:2060 CAMPUS DRIVE
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-9538
Practice Address - Country:US
Practice Address - Phone:530-241-0552
Practice Address - Fax:530-247-3383
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-12
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1164511358OtherNPI