Provider Demographics
NPI:1669959581
Name:CATHOLIC FAMILY SERVICE COUNSELING PROGRAM
Entity type:Organization
Organization Name:CATHOLIC FAMILY SERVICE COUNSELING PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, ST. MARGARET'S SHELTER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:STADELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DELEGATED OFFICIAL
Authorized Official - Phone:509-624-9788
Mailing Address - Street 1:101 E HARTSON AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1323
Mailing Address - Country:US
Mailing Address - Phone:509-624-9788
Mailing Address - Fax:509-624-1461
Practice Address - Street 1:101 E HARTSON AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1323
Practice Address - Country:US
Practice Address - Phone:509-624-9788
Practice Address - Fax:509-624-1461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management