NPIMap

Organization Active NPI

Salvation Army

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1144634254
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0820103 Issued in MI
Legal business name
SALVATION ARMY
Practice address
3737 Lawton St
Detroit, MI 48208-2500
Phone
(313) 361-6136
Fax
(313) 361-6211
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cynthia Mainville
Title
Adminstrator
Phone
(313) 361-6136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SA0820103 MI Primary

Addresses

Primary practice location

3737 Lawton St
Detroit, MI 48208-2500

Mailing address

3737 Lawton St
Detroit, MI 48208-2500
Phone (313) 361-6136

National Provider Directory

National Provider Directory
Tax ID family
Positive Images3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1144634254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6136",
            "fax_number": "313-361-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6136",
            "fax_number": "313-361-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "MAINVILLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "313-361-6136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0820103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.