Organization
CATHOLIC CHARITIES OF THE DIOCESE OF SPRINGFIELD-IN-ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ROACH (EXECUTIVE DIRECTOR)
(217) 523-9201
Entity
Organization
Contact information
Practice address
1625 W WASHINGTON ST, SPRINGFIELD, IL 62702-4757
(217) 523-9201
(217) 523-5624
Mailing address
1625 W WASHINGTON ST, SPRINGFIELD, IL 62702-4757
(217) 523-9201
(217) 523-5624
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
003973-12
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166-000115
MARRIAGE & FAMILY LICENSE
IL
Enumeration date
11/27/2006
Last updated
06/23/2021
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