National Provider Identifier Database

THE SALVATION ARMY CLITHEROE CENTER DUAL DIAGNOSIS
Substance Abuse Disorder 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.


Contact Information

THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS
8000 W END RD
ANCHORAGE, AK99519
Phone: 907-243-1181
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS

NPI Number 1124147905
Legal business name
LBN
THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS
Authorized official ADELANE KELLY - (DIVISIONAL FINANCE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/29/2007
Last updated 08/28/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 11806
  • AK Medicaid: DA4465

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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