Organization
CHRISTIAN SOCIAL SERVICES OF ILLINOIS
Active
Organization
CHRISTIAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Catholic Social Services of Southern IL
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD G. BECK MPA (ASSOCIATE EXECUTIVE DIRECTOR)
(618) 688-1161
Entity
Organization
Contact information
Practice address
219 WITHERS DR, MOUNT VERNON, IL 62864-8273
(618) 244-0344
(618) 244-1455
Mailing address
219 WITHERS DR, MOUNT VERNON, IL 62864-8273
(618) 244-0344
(618) 244-1455
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
003976-12
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598031700
—
IL
05
—
1861758575
—
IL
Enumeration date
09/14/2012
Last updated
09/14/2012
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