Healthcare Provider Details

I. General information

NPI: 1518907351
Provider Name (Legal Business Name): CATHOLIC CHARITIES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 PROFESSOR AVE
CLEVELAND OH
44113-4467
US

IV. Provider business mailing address

2270 PROFESSOR AVE
CLEVELAND OH
44113-4467
US

V. Phone/Fax

Practice location:
  • Phone: 216-871-0288
  • Fax: 216-781-6270
Mailing address:
  • Phone: 216-871-0288
  • Fax: 216-781-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK GAREAU
Title or Position: PRESIDENT & CHIEF EXECUTIVE OFICCER
Credential:
Phone: 216-334-2901