Organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Active
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Authorized official
PAMELA F DAVIS (DEPARTMENT DIRECTOR)
(312) 655-7167
Entity
Organization
Contact information
Practice address
1717 RAND RD, DES PLAINES, IL 60016-3509
(847) 376-2100
Mailing address
1800 N HERMITAGE AVE, CHICAGO, IL 60622-1161
(312) 655-7167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019
—
IL
Enumeration date
07/10/2014
Last updated
05/31/2023
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