Provider Demographics
NPI:1578763298
Name:CATHOLIC COMMUNITY SERVICES
Entity Type:Organization
Organization Name:CATHOLIC COMMUNITY SERVICES
Other - Org Name:COMMUNITY OUTREACH PROGRAM FOR THE DEAF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:520-792-1906
Mailing Address - Street 1:268 W ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-6534
Mailing Address - Country:US
Mailing Address - Phone:520-792-1906
Mailing Address - Fax:520-770-8544
Practice Address - Street 1:268 W ADAMS ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-6534
Practice Address - Country:US
Practice Address - Phone:520-792-1906
Practice Address - Fax:520-770-8544
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-20
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251B00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health