OrganizationActive
Salvation Army
NPI 1679135438 · Substance Use Disorder Rehabilitation Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1679135438
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rachael Boafo, LPN(616) 481-9414
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
72 Sheldon Ave Se
Grand Rapids, MI 49503-4234
Phone: (616) 742-0351
Street-level locationGet directions
Mailing address
72 Sheldon Ave Se
Grand Rapids, MI 49503-4234
Registry dates
- Enumerated
- 2019-07-02
- Last updated
- 2019-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.