Organization
THE SALVATION ARMY HARBOR LIGHT CENTER
Active
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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