Provider Demographics
NPI:1770659757
Name:CATHOLIC SOCIAL SERVICES
Entity Type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:251-434-1500
Mailing Address - Street 1:PO BOX 759
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36601-0759
Mailing Address - Country:US
Mailing Address - Phone:251-434-1550
Mailing Address - Fax:251-434-1549
Practice Address - Street 1:400 GOVERNMENT STREET
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-2394
Practice Address - Country:US
Practice Address - Phone:251-434-1550
Practice Address - Fax:251-434-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL17201292OtherUNITED BEHAVIORAL HEALTH