Organization Active NPI

The Salvation Army Denby Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1487841730
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
CI820201092 Issued in MI
Legal business name
THE SALVATION ARMY DENBY CENTER
Practice address
20775 Pembroke Ave
Detroit, MI 48219-1345
Phone
(313) 537-2130
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Ms. Capt. Katherine Clausell, MA
Title
Director
Phone
(313) 537-2130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X CI820201092 MI Primary

Addresses

Primary practice location

20775 Pembroke Ave
Detroit, MI 48219-1345

Mailing address

20775 Pembroke Ave
Detroit, MI 48219-1345
Phone (313) 537-2130

National Provider Directory

National Provider Directory

Locations

20775 Pembroke Ave
Detroit, MI 48219
Phone (313) 537-2130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1487841730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20775 PEMBROKE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191345",
            "telephone_number": "313-537-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20775 PEMBROKE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191345",
            "telephone_number": "313-537-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY DENBY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "CLAUSELL",
        "authorized_official_first_name": "CAPT. KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-537-2130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MI",
            "license": "CI820201092",
            "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 Oct 20, 2008; 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.