Provider Demographics
NPI: | 1932240827 |
---|---|
Name: | CATHOLIC CHARITIES, DIOCESE OF TRENTON |
Entity Type: | Organization |
Organization Name: | CATHOLIC CHARITIES, DIOCESE OF TRENTON |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CASE WORKER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | COLLEEN |
Authorized Official - Middle Name: | MARIE |
Authorized Official - Last Name: | VICIDOMINI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 732-350-2120 |
Mailing Address - Street 1: | 88 SCHOOLHOUSE RD |
Mailing Address - Street 2: | SUITE1 |
Mailing Address - City: | WHITING |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08759-3051 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-350-2120 |
Mailing Address - Fax: | 732-350-2725 |
Practice Address - Street 1: | 88 SCHOOLHOUSE RD |
Practice Address - Street 2: | SUITE1 |
Practice Address - City: | WHITING |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08759-3051 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-350-2120 |
Practice Address - Fax: | 732-350-2725 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-12 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 251B00000X | Agencies | Case Management | |
Not Answered | 251V00000X | Agencies | Voluntary or Charitable |