Organization
CATHOLIC COMMUNITY SERVICES IN WESTERN AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA MENDEZ-COUNTS M.A. (EXECUTIVE DIRECTOR)
(928) 341-9400
Entity
Organization
Contact information
Practice address
690 E 32ND ST, YUMA, AZ 85365-3437
(928) 341-9400
Mailing address
690 E 32ND ST, YUMA, AZ 85365-3437
(928) 341-9400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OTC6081
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
OTC6081
AZ
101YM0800X
Mental Health Counselor
OTC6081
AZ
261QA0600X
Adult Day Care Clinic/Center
AL3382D
AZ
332U00000X
Home Delivered Meals
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062125
—
AZ
Enumeration date
09/15/2006
Last updated
06/20/2024
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