Organization · Type 2 NPI
Salvation Army Harbor Light Macomb
Mental Illness Community Based Residential Treatment Facility · Shelby Township, MI
Practice location
14030 Lakeside Blvd N, Apt C-221
Shelby Township, MI 48315-6050
Mailing address
42590 Stepnitz Dr
Clinton Township, MI 48036-3161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1508010679
Salvation Army Harbor Light Macomb's National Provider Identifier is 1508010679, issued on Nov 15, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Shelby Township, MI. The record was last updated on Nov 15, 2008.