Provider Demographics
NPI:1346321221
Name:CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES, INC. - ARCHDIOCESE OF HARTFORD
Other - Org Name:CATHOLIC FAMILY SERVICES, INC. - ARCHDIOCESE OF HARTFORD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENATORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-496-1847
Mailing Address - Street 1:839 ASYLUM AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2801
Mailing Address - Country:US
Mailing Address - Phone:860-493-1847
Mailing Address - Fax:860-548-1930
Practice Address - Street 1:90 FRANKLIN SQ
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2607
Practice Address - Country:US
Practice Address - Phone:860-225-3561
Practice Address - Fax:860-225-2558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB000667OtherCTGA
COANC1456OtherOXFORD
CTB000667OtherCTGA