| Organization Name: | CATHOLIC CHARITIES |
| NPI Number: | 1174877641 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY EATON (EXCUTIVE DIRECTOR) |
| Mailing Address: | 1200 3rd Ave Nw Suite 1 Fort Dodge |
| State: | IA US |
| Postal Code: | 505012207 |
| Phone Number: | 5155764156 |
| Fax Number: | 5155766998 |
| NPI Enumeration Date: | 11/05/2012 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 007700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |