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Organization

THE SALVATION ARMY, A CALIFORNIA CORPORATION

Active
Parent organization
THE SALVATION ARMYA CALIFORNIA CORP
Other names
Clitheroe Center Outpatient
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE SALVATION ARMYA CALIFORNIA CORP
Authorized official
PETER PEMBERTON (ALASKA DIVISION, SECRETARY FOR BUSI)
(907) 339-3410
Entity
Organization

Contact information

Practice address
3600 EAST 20TH AVENUE, ANCHORAGE, AK 99508
(907) 339-3410
(907) 276-2611
Mailing address
143 EAST 9TH AVENUE, ANCHORAGE, AK 99501
(907) 339-3410
(907) 276-2611

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1696789
AK
Enumeration date
11/15/2019
Last updated
11/19/2019
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