Provider Demographics
NPI:1871622076
Name:CATHOLIC SOCIAL SERVICE
Entity type:Organization
Organization Name:CATHOLIC SOCIAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SNAPP
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:620-227-1562
Mailing Address - Street 1:906 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-4905
Mailing Address - Country:US
Mailing Address - Phone:620-227-1562
Mailing Address - Fax:620-227-1572
Practice Address - Street 1:906 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-4905
Practice Address - Country:US
Practice Address - Phone:620-227-1562
Practice Address - Fax:620-227-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
KS0000740-005253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253J00000XAgenciesFoster Care Agency
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty