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Salvation Army-harbor Light
Respite Care in Detroit, Michigan
NPI 1811094998

Salvation Army-harbor Light is a Respite Care based in Detroit, MI. Salvation Army-harbor Light practices in Detroit, MI. The NPI Number for Salvation Army-harbor Light is 1811094998 and holds a License No. 4301061866 (Michigan).

The current practice location address for Salvation Army-harbor Light is 3737 Lawton St, Detroit, MI and can be reached out via phone at 313-361-6136 and via fax at 313-361-6210. You can also correspond with Salvation Army-harbor Light through the mailing address at 3737 LAWTON ST, DETROIT, MI - 48208-2500 (mailing address contact number: 313-361-6136).

Location: 3737 Lawton St, Detroit, MI, 48208-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811094998
Provider Name
Salvation Army-harbor Light
Credential
Provider Entity Type
Organization
Address
3737 Lawton St, Detroit, MI, 48208-2500
Phone Number
313-361-6136
Fax Number
313-361-6210
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4701194 05 MI
institution
Provider Business Practice Location Address Details
Address
3737 Lawton St
City
Detroit
State
Michigan
Zip
48208-2500
Phone Number
313-361-6136
Fax Number
313-361-6210
person
Provider Business Mailing Address Details
Address
3737 Lawton St
City
Detroit
State
Michigan
Zip
48208-2500
Phone Number
313-361-6136
Fax Number
313-361-6210
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
4301061866 (Michigan)
Definition
Definition to come.
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