Provider Demographics
NPI:1710658216
Name:THE CATALYST FOUNDATION
Entity Type:Organization
Organization Name:THE CATALYST FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THE CATALYST FOUNDATION
Authorized Official - Prefix:
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-948-8559
Mailing Address - Street 1:547 W LANCASTER BLVD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2533
Mailing Address - Country:US
Mailing Address - Phone:661-948-8559
Mailing Address - Fax:
Practice Address - Street 1:547 W LANCASTER BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2533
Practice Address - Country:US
Practice Address - Phone:661-948-8559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251X00000XAgenciesSupports BrokerageGroup - Multi-Specialty