Provider Demographics
NPI:1154008951
Name:CASA DE CONSEJERIA Y SALUD INTEGRAL, INC.
Entity type:Organization
Organization Name:CASA DE CONSEJERIA Y SALUD INTEGRAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-634-3259
Mailing Address - Street 1:213 W ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-3617
Mailing Address - Country:US
Mailing Address - Phone:215-634-3259
Mailing Address - Fax:215-634-1234
Practice Address - Street 1:213 W ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-3617
Practice Address - Country:US
Practice Address - Phone:215-634-3259
Practice Address - Fax:215-634-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center