Provider Demographics
NPI:1578657789
Name:CATHOLIC CHARITIES, INC. - ARCHDIOCESEOF HARTFORD
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES, INC. - ARCHDIOCESEOF 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:860-493-1841
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:860-493-1841
Mailing Address - Fax:860-548-1930
Practice Address - Street 1:61 COLONY ST
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-3210
Practice Address - Country:US
Practice Address - Phone:203-235-2507
Practice Address - Fax:203-639-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
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
CT183459OtherHEALTHNET/MHN
CT77ABH0007CTOtherBC/BS
CT183459OtherHEALTHNET/MHN