Provider Demographics
NPI:1306733803
Name:CATALYST COMMUNITY CORPORATION
Entity type:Organization
Organization Name:CATALYST COMMUNITY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:480-204-6157
Mailing Address - Street 1:18521 E QUEEN CREEK RD STE 105-126
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-5823
Mailing Address - Country:US
Mailing Address - Phone:602-606-7612
Mailing Address - Fax:480-716-9352
Practice Address - Street 1:2833 E EL MORO AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-4735
Practice Address - Country:US
Practice Address - Phone:602-606-7612
Practice Address - Fax:480-716-9352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency