Provider Demographics
NPI:1598025421
Name:CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG, PA
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOTARO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-657-4804
Mailing Address - Street 1:4800 UNION DEPOSIT RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-3710
Mailing Address - Country:US
Mailing Address - Phone:717-657-4804
Mailing Address - Fax:717-657-8683
Practice Address - Street 1:333 N ARCH ST
Practice Address - Street 2:SELH ARCH STREET CENTER
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2928
Practice Address - Country:US
Practice Address - Phone:717-299-3659
Practice Address - Fax:717-299-1328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty