Provider Demographics
NPI:1215153895
Name:CATHOLIC COUNCIL FOR SOCIAL CONCERN
Entity type:Organization
Organization Name:CATHOLIC COUNCIL FOR SOCIAL CONCERN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALEAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-237-5053
Mailing Address - Street 1:300 W BROADWAY
Mailing Address - Street 2:SUITE 223
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-9045
Mailing Address - Country:US
Mailing Address - Phone:712-328-3086
Mailing Address - Fax:712-328-1348
Practice Address - Street 1:300 W BROADWAY
Practice Address - Street 2:SUITE 223
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-9045
Practice Address - Country:US
Practice Address - Phone:712-328-3086
Practice Address - Fax:712-328-1348
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC COUNCIL FOR SOCIAL CONCERN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-18
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA787969000Medicaid