Organization · Type 2 NPI
The Salvation Army
Substance Abuse Rehabilitation Facility · Tiyan, GU
NPI number
1275895005
Active
Practice location
155004 Corsair Avenue
Tiyan, GU 96910-5004
Fax (671) 477-4649
Mailing address
PO Box 23038
Barrigada, GU 96921-3038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
About NPI 1275895005
The Salvation Army's National Provider Identifier is 1275895005, issued on Jun 7, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Tiyan, GU. The record was last updated on Jun 7, 2012.