Provider Demographics
NPI:1770744039
Name:CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY
Entity type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALLMAND
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-666-8870
Mailing Address - Street 1:715 N LAPEER RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-1530
Mailing Address - Country:US
Mailing Address - Phone:248-537-3300
Mailing Address - Fax:248-537-3306
Practice Address - Street 1:715 N LAPEER RD
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362-1530
Practice Address - Country:US
Practice Address - Phone:248-537-3300
Practice Address - Fax:248-537-3306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI631287251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health