CHRISTIAN SOCIAL SERVICES OF ILLINOIS NPI 1588900906

NPI Information

NPI: 1588900906
Provider Name: CHRISTIAN SOCIAL SERVICES OF ILLINOIS

Doing Business As: CARITAS FAMILY SOLUTIONS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
645 BERKSHIRE BLVD
EAST ALTON, IL
ZIP 62024
Phone: (618) 258-8750
Get Directions

CHRISTIAN SOCIAL SERVICES OF ILLINOIS is a mental health (including community mental health center) clinic center in East Alton, IL. CHRISTIAN SOCIAL SERVICES OF ILLINOIS NPI is 1588900906. The provider is registered as an organization entity type.
The provider Is Doing Business As Caritas Family Solutions.

The provider's business location address is:

645 BERKSHIRE BLVD
EAST ALTON, IL
ZIP 62024-324
Phone: (618) 258-8750
Fax: (618) 258-8751

The provider's authorized official is Gary Huelsmann .
The authorized official title is Chief Executive Officer and has the following contact phone number (618) 213-8705.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 1/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	253J00000X	Foster Care Agency		003976-13	ILLINOIS	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1861758575	MEDICAID	ILLINOIS
2	1598031700	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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