Organization
CASA CENTRAL SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN R. CASTRO (INTERIM PRESIDENT & CEO)
(773) 645-2300
Entity
Organization
Contact information
Practice address
1335 NORTH CALIFORNIA AVENUE, CHICAGO, IL 60622
(773) 645-2376
(773) 276-2269
Mailing address
1343 N CALIFORNIA AVE, CHICAGO, IL 60622-2803
(773) 645-2300
(773) 645-2475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2A00-IPI-182
—
IL
Enumeration date
01/17/2014
Last updated
07/10/2019
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