Healthcare Provider Details

I. General information

NPI: 1659328771
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: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6753 STATE RD
PARMA OH
44134-4517
US

IV. Provider business mailing address

PO BOX 72767
CLEVELAND OH
44192-0002
US

V. Phone/Fax

Practice location:
  • Phone: 216-391-2030
  • Fax: 440-843-5588
Mailing address:
  • Phone: 800-860-7373
  • Fax: 330-668-2116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

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