| Catholic Charities Of The Diocese Of Springfield-in-illinois | |
|
1625 W Washington St Springfield IL 62702-4757 | |
| (217) 523-9201 | |
| (217) 523-5624 |
| Full Name | Catholic Charities Of The Diocese Of Springfield-in-illinois |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1625 W Washington St, Springfield, Illinois |
| Authorized Official Name and Position | Steven Roach (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2175239201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Diocese Of Springfield-in-illinois 1625 W Washington St Springfield IL 62702-4757 Ph: (217) 523-9201 | Catholic Charities Of The Diocese Of Springfield-in-illinois 1625 W Washington St Springfield IL 62702-4757 Ph: (217) 523-9201 |
| NPI Number | 1437225034 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/23/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437225034 | NPI | - | NPPES |
| 166-000115 | Other | IL | MARRIAGE & FAMILY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 003973-12 (Illinois) | Primary |
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