Provider Demographics
NPI:1790089381
Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Other - Org Name:THERAPEUTIC FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:R
Authorized Official - Last Name:WADGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-523-3755
Mailing Address - Street 1:1000 HOWARD AVE
Mailing Address - Street 2:STE. 1000
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1924
Mailing Address - Country:US
Mailing Address - Phone:504-523-3755
Mailing Address - Fax:504-596-3098
Practice Address - Street 1:1000 HOWARD AVE
Practice Address - Street 2:STE. 1000
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1924
Practice Address - Country:US
Practice Address - Phone:504-523-3755
Practice Address - Fax:504-596-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2924253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency