NPIMap

Organization Active NPI

Salvation Army Harbor Light

  • Substance Abuse Rehabilitation Facility
  • Monroe, MI
National Provider Identifier
1861747578
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
L2238243 Issued in MI
Legal business name
SALVATION ARMY HARBOR LIGHT
Practice address
3250 N Monroe St
Monroe, MI 48162-9297
Phone
(734) 384-3402
Fax
(734) 384-3420
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Miss Margorie Tursak, LPC
Title
Clinical Director
Phone
(734) 384-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X L2238243 MI Primary

Addresses

Primary practice location

3250 N Monroe St
Monroe, MI 48162-9297

Mailing address

3250 N Monroe St
Monroe, MI 48162-9297
Phone (734) 384-3402

National Provider Directory

National Provider Directory
Tax ID family
Salvation Army Harbor Light Macomb8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1861747578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629297",
            "telephone_number": "734-384-3402",
            "fax_number": "734-384-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629297",
            "telephone_number": "734-384-3402",
            "fax_number": "734-384-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION ARMY HARBOR LIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "TURSAK",
        "authorized_official_first_name": "MARGORIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "734-384-3402",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "L2238243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.