THE SALVATION ARMY HARBOR LIGHT MACOMB NPI 1689119729

NPI Information

  • NPI: 1689119729
  • Provider Name: THE SALVATION ARMY HARBOR LIGHT MACOMB
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Former Legal Business Name: SALVATION ARMY
  • Address: 42950 STEPNITZ DRIVE
    CLINTON TOWNSHIP, MI
    ZIP 48036
  • Phone: (586) 954-1838

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NPI Details

THE SALVATION ARMY HARBOR LIGHT MACOMB is a substance abuse rehabilitation facility in Clinton Township, MI. The provider is 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. THE SALVATION ARMY HARBOR LIGHT MACOMB NPI is 1689119729. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Salvation Army.

The provider's business location address is:

42950 STEPNITZ DRIVE
CLINTON TOWNSHIP, MI
ZIP 48036
Phone: (586) 954-1838
Fax: (586) 954-9856

The provider's authorized official is Melinda Fields .
The authorized official title is Site Administrator and has the following contact phone number (586) 954-1838.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 12/28/2016.

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
1324500000XSubstance Abuse Rehabilitation FacilitySA0500049MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1192055MEDICAIDMICHIGAN

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: 11/21/2025

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