Provider Demographics
NPI:1295943090
Name:CATHOLIC CHARITIES SERVING PORTAGE AND STARK COUNTIES
Entity type:Organization
Organization Name:CATHOLIC CHARITIES SERVING PORTAGE AND STARK COUNTIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-297-7745
Mailing Address - Street 1:206 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-2714
Mailing Address - Country:US
Mailing Address - Phone:330-297-7745
Mailing Address - Fax:330-297-7763
Practice Address - Street 1:2308 RENO DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:44641-9083
Practice Address - Country:US
Practice Address - Phone:330-875-7979
Practice Address - Fax:330-875-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable