Organization
THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER
Active
Parent organization
THE SALVATION ARMY, A GEORGIA CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SALVATION ARMY, A GEORGIA CORP.
Authorized official
AUSTRUBERTO FLORES III (ASSISTANT TREASURER)
(404) 728-1300
Entity
Organization
Contact information
Practice address
1855 E. LANCASTER AVE., FORT WORTH, TX 76103-2123
(817) 344-1831
(817) 338-9251
Mailing address
1855 E. LANCASTER AVE., FORT WORTH, TX 76103-2123
(817) 344-1831
(817) 338-9251
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124732699
UEIN (DUNS)
TX
Enumeration date
10/02/2020
Last updated
10/02/2020
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