Provider Demographics
NPI:1346369493
Name:THE SALVATION ARMY CLITHEROE CENTER
Entity Type:Organization
Organization Name:THE SALVATION ARMY CLITHEROE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DFST
Authorized Official - Prefix:
Authorized Official - First Name:WILILAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-339-3406
Mailing Address - Street 1:143 E. NINTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501
Mailing Address - Country:US
Mailing Address - Phone:907-276-2515
Mailing Address - Fax:907-276-2611
Practice Address - Street 1:1015 E. 6TH AVE.
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501
Practice Address - Country:US
Practice Address - Phone:907-276-2898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK11806261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder