Provider Demographics
NPI:1710291315
Name:NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC.
Entity Type:Organization
Organization Name:NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-241-0552
Mailing Address - Street 1:2400 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2802
Mailing Address - Country:US
Mailing Address - Phone:530-241-0552
Mailing Address - Fax:530-247-3347
Practice Address - Street 1:205 MIRA LOMA DR IVE
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-3582
Practice Address - Country:US
Practice Address - Phone:530-538-0148
Practice Address - Fax:530-534-7850
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-06
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health