Provider Demographics
NPI:1992121388
Name:CATHOLIC CHARITIES
Entity type:Organization
Organization Name:CATHOLIC CHARITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELVIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:209-444-5600
Mailing Address - Street 1:1106 N EL DORADO ST STE A
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-1332
Mailing Address - Country:US
Mailing Address - Phone:209-444-5900
Mailing Address - Fax:209-444-5929
Practice Address - Street 1:1106 N EL DORADO ST STE A
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-1332
Practice Address - Country:US
Practice Address - Phone:209-444-5900
Practice Address - Fax:209-444-5929
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MULTI SENIOR SERVICE PROGRAM SITE 49
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management