Provider Demographics
NPI:1770095143
Name:CATHOLIC COMMUNITY SERVICES YUMA
Entity type:Organization
Organization Name:CATHOLIC COMMUNITY SERVICES YUMA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:JASSO
Authorized Official - Last Name:MENDEZ-COUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-341-9400
Mailing Address - Street 1:690 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-3437
Mailing Address - Country:US
Mailing Address - Phone:928-341-9400
Mailing Address - Fax:
Practice Address - Street 1:160 E 1ST ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-1404
Practice Address - Country:US
Practice Address - Phone:928-782-1105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-25
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals