CATHOLIC COMMUNITY SERVICES IN WESTERN AZ; NPI #1255437836

Contact Information

CATHOLIC COMMUNITY SERVICES IN WESTERN AZ

690 E 32ND ST
YUMA, AZ 85365-3437

Phone: 928-341-9400
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Counselor	101Y00000X
Addiction (Substance Use Disorder)	101YA0400X
Adult Day Care	261QA0600X
Home Delivered Meals	332U00000X	87	All Other Suppliers
Mental Health	101YM0800X

Indicates primary specialty

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NPI Profile & details for CATHOLIC COMMUNITY SERVICES IN WESTERN AZ

NPI Number 1255437836

LBN Legal business name CATHOLIC COMMUNITY SERVICES IN WESTERN AZ

Authorized official EVA MENDEZ-COUNTS - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/15/2006

Last updated 06/20/2024 - More than a year ago

Identifiers

AZ	License #	AL3382D
AZ	License #	OTC6081
AZ	Medicaid	062125

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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