Provider Demographics
NPI:1699804583
Name:CATHOLIC SOCIAL SERVICES, INC.
Entity type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL ASSISTANT/AR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-857-1217
Mailing Address - Street 1:197 E GAY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3229
Mailing Address - Country:US
Mailing Address - Phone:614-221-5891
Mailing Address - Fax:614-228-1125
Practice Address - Street 1:197 E GAY ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3229
Practice Address - Country:US
Practice Address - Phone:614-221-5891
Practice Address - Fax:614-228-1125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH097251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health