Provider Demographics
NPI:1770820185
Name:CATHOLIC SOCIAL SERVICES
Entity Type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISIONAL CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-587-3892
Mailing Address - Street 1:222 N 17TH ST
Mailing Address - Street 2:309
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1202
Mailing Address - Country:US
Mailing Address - Phone:215-587-4523
Mailing Address - Fax:215-587-3867
Practice Address - Street 1:222 N 17TH ST
Practice Address - Street 2:309
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1202
Practice Address - Country:US
Practice Address - Phone:215-587-4523
Practice Address - Fax:215-587-3867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency