Organization
SALVATION ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA POWELL-BERRY (CLINICAL DIRECTOR)
(313) 361-6136
Entity
Organization
Contact information
Practice address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
Mailing address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
324500000X
MI
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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