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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES COMMUNITY SERVICES CORPORATION

MEDICARE: CATHOLIC CHARITIES COMMUNITY SERVICES CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0162OH
2101YM0800XMental Health Counselor0162OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CA9254301OTHEROHGROUP MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699730499
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES COMMUNITY SERVICES CORPORATION
Provider Business Mailing Address
First Line : 812 BIRUTA STREET
Second Line :
City : AKRON
State : OH
Zip : 44307-1104
Country : US
Telephone Number : 330-762-7481
Fax Number : 330-762-7484
Provider Business Practice Location Address
First Line : 640 NORTH MAIN STREET
Second Line :
City : AKRON
State : OH
Zip : 44310-3017
Country : US
Telephone Number : 330-762-7481
Fax Number : 330-762-7484
Authorized Official
Title or Position : DIRECTOR
Name : MR. DONALD P. FINN
Credential : DIRECTOR
Telephone Number : 330-762-7481
Provider Enumeration Date : 04/18/2006
Last Update Date : 02/17/2011

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Directions to “CATHOLIC CHARITIES COMMUNITY SERVICES CORPORATION ” Practice Location

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