Provider Demographics
NPI:1235722026
Name:THE CERES COMMUNITY PROJECT
Entity Type:Organization
Organization Name:THE CERES COMMUNITY PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:COUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:707-829-5833
Mailing Address - Street 1:PO BOX 1562
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95473-1562
Mailing Address - Country:US
Mailing Address - Phone:707-829-5833
Mailing Address - Fax:707-324-3828
Practice Address - Street 1:7351 BODEGA AVE
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-3727
Practice Address - Country:US
Practice Address - Phone:707-829-5833
Practice Address - Fax:707-324-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No332U00000XSuppliersHome Delivered Meals