Provider Demographics
NPI:1851429906
Name:CATHOLIC CHARITIES, INC
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES, INC
Other - Org Name:CATHOLIC CHARITIES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-522-8241
Mailing Address - Street 1:30 SILVER ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3906
Mailing Address - Country:US
Mailing Address - Phone:860-347-3682
Mailing Address - Fax:860-347-3682
Practice Address - Street 1:30 SILVER ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3906
Practice Address - Country:US
Practice Address - Phone:860-347-3682
Practice Address - Fax:860-347-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health