Organization · NPI-2
The Salvation Army
Community/Behavioral Health · Anchorage, AK
NPI number1902169253
StatusActive
Last updated in NPPESJun 21, 2012
Details
- NPI
- 1902169253
- Entity type
- Organization (NPI-2)
- Legal business name
- The Salvation Army
- Organization subpart
- No
- Enumeration date
- Jun 21, 2012
- Last updated
- Jun 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | AK |
Other names
- Booth Memorial Youth & Family Services (Doing Business As)
Practice location
3600 E 20th AveAnchorage, AK 99508
Phone 907-375-3505 · Fax 907-279-0522
Mailing address
143 9th AveAnchorage, AK 99501-3618
Phone 907-375-3505 · Fax 907-279-0522
Authorized official
Kelly A Eggleston
Clinical Director
9073753505
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