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Organization

THE SALVATION ARMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL JOHN SOUTHWICK (SECRETARY)
(845) 620-7329
Entity
Organization

Contact information

Practice address
6 BAXTER ST, QUINCY, MA 02169-6932
(617) 479-3040
Mailing address
440 W NYACK RD, WEST NYACK, NY 10994-1715
(845) 620-7200

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1906682
MA

Other

Enumeration date
07/17/2007
Last updated
08/21/2017
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