Provider Demographics
NPI:1891813044
Name:CHRISTIAN ALLIANCE WITH SOCIAL SERVICE INVOLVEMENT
Entity Type:Organization
Organization Name:CHRISTIAN ALLIANCE WITH SOCIAL SERVICE INVOLVEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CASSI
Authorized Official - Prefix:MS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:210-262-1902
Mailing Address - Street 1:PO BOX 340132
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-0132
Mailing Address - Country:US
Mailing Address - Phone:210-262-1902
Mailing Address - Fax:210-509-0589
Practice Address - Street 1:3002 WOOD CIR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1834
Practice Address - Country:US
Practice Address - Phone:210-262-1902
Practice Address - Fax:210-509-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37349104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty