Organization
THE SALVATION ARMY HARBOR LIGHT MACOMB
Active
Other names
Salvation Army
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA FIELDS (SITE ADMINISTRATOR)
(586) 954-1838
Entity
Organization
Contact information
Practice address
42950 STEPNITZ DRIVE, CLINTON TOWNSHIP, MI 48036
(586) 954-1838
(586) 954-9856
Mailing address
42950 STEPNITZ, CLINTON TOWNSHIP, MI 48036
(586) 954-1838
(586) 954-9856
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0500049
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192055
—
MI
Enumeration date
12/28/2016
Last updated
12/28/2016
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