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THE SALVATION ARMY NPI 1902169253


NPI Profile

NPI: 1902169253
Provider Name: THE SALVATION ARMY

Doing Business As: BOOTH MEMORIAL YOUTH & FAMILY SERVICES

Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3600 E 20TH AVE
ANCHORAGE, AK
ZIP 99508
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Phone: (907) 375-3505

THE SALVATION ARMY is a community behavioral health in Anchorage, AK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. THE SALVATION ARMY NPI is 1902169253. The provider is registered as an organization entity type.
The provider Is Doing Business As Booth Memorial Youth & Family Services.

The provider's business location address is:

3600 E 20TH AVE
ANCHORAGE, AK
ZIP 99508
Phone: (907) 375-3505
Fax: (907) 279-0522

The provider's authorized official is Kelly A Eggleston .
The authorized official title is Clinical Director and has the following contact phone number (907) 375-3505.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 6/21/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
43245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenALASKANo
5251S00000XCommunity/Behavioral HealthYes

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: 3/9/2021

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