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Organization

HARBOR LIGHT CENTER, SALVATION ARMY

Active
Parent organization
THE SALVATION ARMY AN ILLIONIS CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE SALVATION ARMY AN ILLIONIS CORPORATION
Authorized official
MR. MERRILL D POWERS SALVATION ARMY (EXECUTIVE DIRECTOR)
(312) 667-2266
Entity
Organization

Contact information

Practice address
825 N CHRISTIANA AVE, CHICAGO, IL 60651-4110
(312) 667-2253
(312) 421-0823
Mailing address
825 N CHRISTIANA AVE, CHICAGO, IL 60651-4110
(312) 667-2253
(312) 421-0823

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/15/2007
Last updated
03/05/2020
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