Whalio Doctors

NPI 1275895005

The Salvation Army

Organisation Substance Abuse Rehabilitation Facility Tiyan, GU

Practice location

Address
155004 Corsair Avenue, Tiyan, GU 96910-5004
Phone
(671) 477-7671
Fax
(671) 477-4649
Mailing address
PO Box 23038, Barrigada, GU 96921-3038

Authorised official

Name
Lourdes B Hongyee
Title
Program Coordinator
Phone
(671) 477-9801

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1275895005
Entity type
Organization
NPI issued
7 Jun 2012
Record last updated
7 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.