Organization
THE SALVATION ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOURDES B HONGYEE (PROGRAM COORDINATOR)
(671) 477-9801
Entity
Organization
Contact information
Practice address
155004 CORSAIR AVENUE, TIYAN, GU 96910-5004
(671) 477-7671
(671) 477-4649
Mailing address
PO BOX 23038, BARRIGADA, GU 96921-3038
(671) 477-7671
(671) 477-4649
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
GU
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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