Provider Demographics
NPI:1316182801
Name:THE SALAAM PROJECT, LLC
Entity Type:Organization
Organization Name:THE SALAAM PROJECT, LLC
Other - Org Name:ALLIE'S LOVING HEART
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-491-5423
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27261-0027
Mailing Address - Country:US
Mailing Address - Phone:336-491-5423
Mailing Address - Fax:336-869-6764
Practice Address - Street 1:927 E DAYTON AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2333
Practice Address - Country:US
Practice Address - Phone:336-491-5423
Practice Address - Fax:336-869-6764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-883322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children