CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC. NPI 1780895102

NPI Information

NPI: 1780895102
Provider Name: CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC.

Doing Business As: COMMUNITY LIVING PROGRAM

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
268 W ADAMS ST
TUCSON, AZ
ZIP 85705
Phone: (520) 792-1906
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CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Tucson, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC. NPI is 1780895102. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Living Program.

The provider's business location address is:

268 W ADAMS ST
TUCSON, AZ
ZIP 85705-534
Phone: (520) 792-1906
Fax: (520) 770-8562

The provider's authorized official is Marguerite Harmon .
The authorized official title is Chief Executive Officer and has the following contact phone number (520) 623-0344.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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