Healthcare Provider Details

I. General information

NPI: 1942242615
Provider Name (Legal Business Name): CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 WAYNE ST 3RD FLOOR
PONTIAC MI
48342-2159
US

IV. Provider business mailing address

50 WAYNE ST 3RD FLOOR
PONTIAC MI
48342-2159
US

V. Phone/Fax

Practice location:
  • Phone: 248-333-3700
  • Fax: 248-333-3718
Mailing address:
  • Phone: 248-333-3700
  • Fax: 248-333-3718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberVARIOUS
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberVARIOUS
License Number StateMI
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberVARIOUS
License Number StateMI

VIII. Authorized Official

Name: MS. STACI ALLMAND
Title or Position: DIRECTOR
Credential: LMSW
Phone: 248-333-3700