Provider Demographics
NPI:1326461740
Name:CHRISTIAN SOCIAL SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN SOCIAL SERVICES
Other - Org Name:CARITAS FAMILY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUELSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:618-688-1126
Mailing Address - Street 1:10286 FLEMING RD
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-3351
Mailing Address - Country:US
Mailing Address - Phone:618-985-2000
Mailing Address - Fax:618-985-2033
Practice Address - Street 1:10286 FLEMING RD
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-3351
Practice Address - Country:US
Practice Address - Phone:618-985-2000
Practice Address - Fax:618-985-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL003976-12251B00000X
251S00000X, 253J00000X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency