Provider Demographics
NPI:1346438769
Name:CATHOLIC CHARITES
Entity Type:Organization
Organization Name:CATHOLIC CHARITES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:408-295-5288
Mailing Address - Street 1:210 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-5569
Mailing Address - Country:US
Mailing Address - Phone:408-295-5288
Mailing Address - Fax:408-292-1029
Practice Address - Street 1:210 N 4TH ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-5569
Practice Address - Country:US
Practice Address - Phone:408-292-5288
Practice Address - Fax:408-292-1029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health