Organization
THE SALVATION ARMY HARBOR LIGHT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERRILL D. POWERS (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
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/05/2020
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