Organization
THE SALVATION ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN SOUTHWICK (SECRETARY)
(845) 620-7329
Entity
Organization
Contact information
Practice address
2200 HAMILTON ST, ALLENTOWN, PA 18104-6337
(610) 821-7706
Mailing address
440 W NYACK RD, WEST NYACK, NY 10994-1715
(845) 620-7200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251J00000X
Nursing Care Agency
Primary
212290
PA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/18/2007
Last updated
02/05/2019
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