Organization Name: | SALVATION ARMY HARBOR LIGHT |
NPI Number: | 1861747578 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGORIE TURSAK (CLINICAL DIRECTOR) |
Mailing Address: | 3250 N Monroe St Monroe |
State: | MI US |
Postal Code: | 481629297 |
Phone Number: | 7343843402 |
Fax Number: | 7343843420 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | L2238243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |