NPI 1629328802

Christian Social Services of Illinois

Organisation Foster Care Agency Mount Vernon, IL

Practice location

Address: 219 Withers Dr, Mount Vernon, IL 62864-8273
Phone: (618) 244-0344
Fax: (618) 244-1455

Authorised official

Name: Brad G. Beck
Title: Associate Executive Director
Phone: (618) 688-1161

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 003976-12 (IL)

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Registry record

NPI: 1629328802
Entity type: Organization
NPI issued: 14 Sep 2012
Record last updated: 14 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.