Organization
SALVATION ARMY HARBOR LIGHT MACOMB
Active
Organization
SALVATION ARMY HARBOR LIGHT MACOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJOR SEAVER (SITE SUPERVISOR)
(586) 954-1838
Entity
Organization
Contact information
Practice address
14030 LAKESIDE BLVD N, APT C-221, SHELBY TOWNSHIP, MI 48315-6050
(586) 212-7734
Mailing address
42590 STEPNITZ DR, CLINTON TOWNSHIP, MI 48036-3161
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2008
Last updated
11/15/2008
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