Provider Demographics
NPI:1831311646
Name:THE SALVATION ARMY
Entity type:Organization
Organization Name:THE SALVATION ARMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISIONAL COMMANDER
Authorized Official - Prefix:MS
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-756-1455
Mailing Address - Street 1:PO BOX 171317
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66117-0317
Mailing Address - Country:US
Mailing Address - Phone:913-371-1171
Mailing Address - Fax:913-321-2641
Practice Address - Street 1:1201 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-4456
Practice Address - Country:US
Practice Address - Phone:913-281-5060
Practice Address - Fax:913-281-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS078251V00000X
KS076324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251V00000XAgenciesVoluntary or Charitable
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility