Healthcare Provider Details

I. General information

NPI: 1972550010
Provider Name (Legal Business Name): CATHOLIC CHARITIES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 RICHMOND RD
EUCLID OH
44143-1239
US

IV. Provider business mailing address

PO BOX 72767
CLEVELAND OH
44192-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-331-5070
  • Fax:
Mailing address:
  • Phone: 440-843-5615
  • Fax: 440-843-1633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JIM MULLEN
Title or Position: PRESIDENT & CHIEF EXECUTIVE OFFICER
Credential:
Phone: 216-334-2901