Provider Demographics
NPI:1780706176
Name:THE SALVATION ARMY
Entity type:Organization
Organization Name:THE SALVATION ARMY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:DCSW,LSW,CSAC
Authorized Official - Phone:808-732-2802
Mailing Address - Street 1:845 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4521
Mailing Address - Country:US
Mailing Address - Phone:808-732-2802
Mailing Address - Fax:808-734-7470
Practice Address - Street 1:845 22ND AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4521
Practice Address - Country:US
Practice Address - Phone:808-732-2802
Practice Address - Fax:808-734-7470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI261Q00000X, 261QM0855X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility