| NPI | 1083185193 |
|---|---|
| Doing Business As | SALVATION ARMY HARBOR LIGHTS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ABEL Area Manager 612-348-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-19 |