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
3107 S GRAND AVE, LOS ANGELES, CA 90007-3816
(213) 744-8186
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
190023AN
CA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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