Provider Demographics
NPI:1710033717
Name:CATHOLIC CHARITIES OF KANSAS CITY-ST. JOSEPH, INC.
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF KANSAS CITY-ST. JOSEPH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-333-2040
Mailing Address - Street 1:1112 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-1518
Mailing Address - Country:US
Mailing Address - Phone:816-221-4377
Mailing Address - Fax:
Practice Address - Street 1:1112 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64105-1518
Practice Address - Country:US
Practice Address - Phone:816-221-4377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health