Provider Demographics
NPI:1528190576
Name:CATHOLIC CHARITIES, DIOCESE OF CAMDEN, INC
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES, DIOCESE OF CAMDEN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:856-342-4100
Mailing Address - Street 1:1845 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-3008
Mailing Address - Country:US
Mailing Address - Phone:856-342-4100
Mailing Address - Fax:
Practice Address - Street 1:1845 HADDON AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3008
Practice Address - Country:US
Practice Address - Phone:856-342-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100540804251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable