Healthcare Provider Details

I. General information

NPI: 1306888656
Provider Name (Legal Business Name): CATHOLIC CHARITIES, DIOCESE OF TRENTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 W STATE ST
TRENTON NJ
08618-5705
US

IV. Provider business mailing address

383 W STATE ST
TRENTON NJ
08618-5705
US

V. Phone/Fax

Practice location:
  • Phone: 609-394-3202
  • Fax: 609-278-6139
Mailing address:
  • Phone: 609-394-3202
  • Fax: 609-278-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberN/A
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARLENE COLLINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-394-5181