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Organization

THE SALVATION ARMY DENBY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAPT. KATHERINE CLAUSELL MA (DIRECTOR)
(313) 537-2130
Entity
Organization

Contact information

Practice address
20775 PEMBROKE AVE, DETROIT, MI 48219-1345
(313) 537-2130
Mailing address
20775 PEMBROKE AVE, DETROIT, MI 48219-1345
(313) 537-2130

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CI820201092
MI

Other

Enumeration date
10/01/2007
Last updated
10/20/2008
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