Provider Demographics
NPI:1790562833
Name:CATHOLIC CHARITIES OF CENTRAL COLORADO
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF CENTRAL COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ORWIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-866-6490
Mailing Address - Street 1:228 N CASCADE AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1385
Mailing Address - Country:US
Mailing Address - Phone:719-800-1833
Mailing Address - Fax:
Practice Address - Street 1:228 N CASCADE AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1385
Practice Address - Country:US
Practice Address - Phone:719-800-1833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty