Organization
THE SALVATION ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SMITH (DIVISIONAL COMMANDER)
(562) 264-3618
Entity
Organization
Contact information
Practice address
11301 WILSHIRE BLVD, BUILDING 212, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
180 E OCEAN BLVD, SUITE 500, LONG BEACH, CA 90802-4709
(562) 264-3618
(562) 264-3718
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190023DN
CA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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