Provider Demographics
NPI:1487866463
Name:CATHOLIC CHARITIES OF THE DIOCESE OF ALLENTOWN INC
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF THE DIOCESE OF ALLENTOWN INC
Other - Org Name:CATHOLIC CHARITIES DIOCESE OF ALLENTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:610-435-1541
Mailing Address - Street 1:900 S WOODWARD ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4179
Mailing Address - Country:US
Mailing Address - Phone:610-435-1541
Mailing Address - Fax:610-435-4367
Practice Address - Street 1:900 S WOODWARD ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-4179
Practice Address - Country:US
Practice Address - Phone:610-435-1541
Practice Address - Fax:610-435-4367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care