HARBOR LIGHT CENTER SALVATION ARMY NPI 1649486887

NPI Information

NPI: 1649486887
Provider Name: HARBOR LIGHT CENTER, SALVATION ARMY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
825 N CHRISTIANA AVE
CHICAGO, IL
ZIP 60651
Phone: (312) 667-2253
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HARBOR LIGHT CENTER, SALVATION ARMY is a rehabilitation and substance use disorder clinic center in Chicago, IL. HARBOR LIGHT CENTER, SALVATION ARMY NPI is 1649486887. The provider is registered as an organization entity type.

The provider's business location address is:

825 N CHRISTIANA AVE
CHICAGO, IL
ZIP 60651-110
Phone: (312) 667-2253
Fax: (312) 421-0823

The provider's authorized official is Merrill D Powers .
The authorized official title is Executive Director and has the following contact phone number (312) 667-2266.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 3/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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