Organization
THE SALVATION ARMY HABOR LIGHT ONWARD
Active
Parent organization
THE SALVATION ARMY
Other names
Onward
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SALVATION ARMY
Authorized official
MRS. MELINDA A. FIELDS MSW (SITE ADMINISTRATOR)
(586) 954-1838
Entity
Organization
Contact information
Practice address
24140 MOUND RD, WARREN, MI 48091-5322
(586) 954-1838
Mailing address
42590 STEPNITZ DR, CLINTON TOWNSHIP, MI 48036-3161
(586) 954-1838
(586) 954-9856
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SA0500484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192115
—
MI
Enumeration date
05/11/2017
Last updated
05/11/2017
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