Organization
CATHOLIC CHARITIES COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BRUMMET-PETERSON LCSW (EXECUTIVE DIRECTOR, NORTHERN AZ REG)
(928) 830-4646
Entity
Organization
Contact information
Practice address
2101 N 4TH ST, FLAGSTAFF, AZ 86004-4200
(928) 774-9125
(928) 774-0697
Mailing address
2101 N 4TH ST, FLAGSTAFF, AZ 86004-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
BH-3226
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116765
AHCCCS
AZ
Enumeration date
11/02/2006
Last updated
06/30/2025
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