Provider Demographics
NPI:1457320350
Name:DEPARTMENT OF THE ARMY
Entity Type:Organization
Organization Name:DEPARTMENT OF THE ARMY
Other - Org Name:ARMY SUBSTANCE ABUSE PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEAD OF SUBSTANCE ABUSE DEPARTMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:8198-645-0356
Mailing Address - Street 1:PSC 560 BOX 907
Mailing Address - Street 2:
Mailing Address - City:OKINAWA
Mailing Address - State:APO AP
Mailing Address - Zip Code:96376
Mailing Address - Country:JP
Mailing Address - Phone:8198-644-4112
Mailing Address - Fax:
Practice Address - Street 1:PSC 560 BOX 907
Practice Address - Street 2:
Practice Address - City:OKINAWA
Practice Address - State:APO AP
Practice Address - Zip Code:96376
Practice Address - Country:JP
Practice Address - Phone:8198-644-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty