Provider Demographics
NPI:1922141928
Name:CHATHAM COUNTY DSS
Entity Type:Organization
Organization Name:CHATHAM COUNTY DSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CHATHAM COUNTY DSS
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:COLETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-642-6917
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312
Mailing Address - Country:US
Mailing Address - Phone:919-542-2759
Mailing Address - Fax:919-542-6355
Practice Address - Street 1:102 CAMP DR
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312
Practice Address - Country:US
Practice Address - Phone:919-542-2759
Practice Address - Fax:919-542-6355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management