Healthcare Provider Details

I. General information

NPI: 1316248149
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF THE DIOCESE OF YAKIMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 07/03/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 TIETON DR STE C
YAKIMA WA
98908-3478
US

IV. Provider business mailing address

5301 TIETON DR SUITE C
YAKIMA WA
98908-3478
US

V. Phone/Fax

Practice location:
  • Phone: 509-965-7100
  • Fax: 509-966-9750
Mailing address:
  • Phone: 509-965-7100
  • Fax: 509-972-0167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DARLENE ELAINE DARNELL
Title or Position: CEO
Credential:
Phone: 509-965-7100