Provider Demographics
NPI:1972703197
Name:CATHOLIC CHARITIES, DIOCESE OF VENICE INC.
Entity type:Organization
Organization Name:CATHOLIC CHARITIES, DIOCESE OF VENICE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ROUTSIS
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-488-5581
Mailing Address - Street 1:2210 SANTA BARBARA BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-5439
Mailing Address - Country:US
Mailing Address - Phone:239-455-2655
Mailing Address - Fax:239-455-7235
Practice Address - Street 1:2210 SANTA BARBARA BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-5439
Practice Address - Country:US
Practice Address - Phone:239-455-2655
Practice Address - Fax:239-455-7235
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES, DIOCESE OF VENICE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable