Salvation Army-Harbor Light in Detroit - Substance Abuse Rehabilitation Facility
Salvation Army-Harbor Light - NPI 1811094998
Salvation Army-Harbor Light is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Salvation Army-Harbor Light practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Salvation Army-Harbor Light is 1811094998. The last update date is 2020-04-21.
Salvation Army-Harbor Light's current location address is 3737 Lawton St, Detroit, Michigan. You can contact this provider via phone number 3133616136 and fax number 3133616210. The mailing address for Salvation Army-Harbor Light is 3737 Lawton St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Salvation Army-Harbor Light |
|---|---|
| Address | 3737 Lawton St, Detroit, Michigan |
| Phone Number | 3133616136 |
| Fax Number | 3133616210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Mainville Cynthia |
| Telephone Number | 3133616136 |
NPI Number Detail
| NPI Number | 1811094998 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-04-21 |
Provider Mailing Address Detail
| Address | 3737 Lawton St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482082500 |
| Phone Number | 3133616136 |
| Fax Number | 3133616210 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 4301061866 |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4701194 | MI | -- |
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What is the unique 10-digit identifier code issued to Salvation Army-Harbor Light by the Centers for Medicare & Medicaid Services?
The Salvation Army-Harbor Light has been assigned the NPI (National Provider Identifier) 1811094998 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Salvation Army-Harbor Light's physical address?
The Salvation Army-Harbor Light is physically located at 3737 Lawton St, in the city of Detroit, MI, with the postal code 482082500.
What is the Salvation Army-Harbor Light's area of specialization and corresponding taxonomy classification?
The Salvation Army-Harbor Light's specialty field is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their specialties.
When did the Salvation Army-Harbor Light receive its 1811094998?
The Salvation Army-Harbor Light was issued its 1811094998 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
When was the Salvation Army-Harbor Light's information last updated?
The Salvation Army-Harbor Light's information was last updated on 2020-04-21.
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