Provider Demographics
NPI:1265735914
Name:CATHOLIC CHARITIES COMMUNITY SERVICES OF SUMMIT COUNTY
Entity type:Organization
Organization Name:CATHOLIC CHARITIES COMMUNITY SERVICES OF SUMMIT COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECTITVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-334-2937
Mailing Address - Street 1:812 BIRUTA ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1104
Mailing Address - Country:US
Mailing Address - Phone:330-762-2000
Mailing Address - Fax:330-762-2001
Practice Address - Street 1:812 BIRUTA ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1104
Practice Address - Country:US
Practice Address - Phone:330-762-2000
Practice Address - Fax:330-762-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services