Provider Demographics
NPI:1891867834
Name:CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.
Entity Type:Organization
Organization Name:CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.
Other - Org Name:COMMUNITY OUTREACH PROGRAM FOR THE DEAF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-623-0344
Mailing Address - Street 1:140 W SPEEDWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-7686
Mailing Address - Country:US
Mailing Address - Phone:520-623-0344
Mailing Address - Fax:
Practice Address - Street 1:268 W ADAMS ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-6534
Practice Address - Country:US
Practice Address - Phone:520-792-1906
Practice Address - Fax:520-770-8544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication