Organization
THE SALVATION ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN SOUTHWICK (SECRETARY)
(845) 620-7329
Entity
Organization
Contact information
Practice address
601 CRESCENT AVE, BRONX, NY 10458-8245
(718) 529-5410
(718) 329-5409
Mailing address
440 WEST NYACK ROAD, PO BOX C-635, WEST NYACK, NY 10994-1739
(845) 620-7200
(845) 620-7615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05174410
—
NY
Enumeration date
05/08/2008
Last updated
02/05/2019
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