THE SALVATION ARMY DENBY CENTER


Address: 20775 Pembroke Ave, Detroit, MI 48219-1345
Phone: 3135372130

THE SALVATION ARMY DENBY CENTER (NPI# 1487841730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487841730
Entity Type Organization
Organization Name THE SALVATION ARMY DENBY CENTER
Practice Address 20775 Pembroke Ave
Detroit
MI 48219-1345
Practice Telephone 3135372130
Mailing Telephone 3135372130
Enumeration Date 2007-10-01
Last Update Date 2008-10-20
Authorized Official Name MS. CAPT. KATHERINE CLAUSELL (DIRECTOR)
Authorized Official Telephone 3135372130
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children CI820201092 MI Residential Treatment Facilities

Office Location

Street Address 20775 PEMBROKE AVE
City DETROIT
State MI
Zip Code 48219-1345

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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

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NPI Name Taxonomy Address Enumeration
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1720123706 Highfields Residential Treatment Facility, Emotionally Disturbed Children 1206 Clinton Rd, Jackson, MI 49202-2005 2007-02-20
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Competitor

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City DETROIT
Zip Code 48219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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