| NPI | 1316272628 |
|---|---|
| Former Legal Business Name | SALVATION ACADEMY |
| Entity Type | Organization |
| Authorized Contact | BRIMA BOB DEEN President 571-217-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |