Provider Demographics
NPI:1497456230
Name:CATHOLIC CHARITIES SERVING CENTRAL WASHINGTON
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES SERVING CENTRAL WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH CARE PROVIEDER
Authorized Official - Prefix:
Authorized Official - First Name:ROSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:509-393-5921
Mailing Address - Street 1:1108 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1406
Mailing Address - Country:US
Mailing Address - Phone:509-393-5921
Mailing Address - Fax:
Practice Address - Street 1:145 S WORTHEN ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3081
Practice Address - Country:US
Practice Address - Phone:509-293-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty