Organization
CATHOLIC CHARITIES SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JOHNSON (DIRECTOR OF FINANCE)
(440) 843-5615
Entity
Organization
Contact information
Practice address
3135 EUCLID AVE STE 202, CLEVELAND, OH 44115-2524
(216) 391-2030
(216) 391-8946
Mailing address
3135 EUCLID AVE STE 202, CLEVELAND, OH 44115-2524
(216) 391-2030
(216) 391-8946
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
892707
OH
251S00000X
Community/Behavioral Health Agency
Primary
892707
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268160
—
OH
Enumeration date
04/23/2009
Last updated
06/11/2009
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