Provider Demographics
NPI:1285634675
Name:CATHOLIC CHILDREN & FAMILY SERVICE
Entity Type:Organization
Organization Name:CATHOLIC CHILDREN & FAMILY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:509-525-0572
Mailing Address - Street 1:408 W POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2831
Mailing Address - Country:US
Mailing Address - Phone:509-525-0572
Mailing Address - Fax:509-525-0576
Practice Address - Street 1:408 W POPLAR ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2831
Practice Address - Country:US
Practice Address - Phone:509-525-0572
Practice Address - Fax:509-525-0576
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES SPOKANE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable