MICHAEL T MOORE

BRONX, NY
NPI1104615970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-05-06
Last Update Date2025-05-06
Business Address
Mr. MICHAEL T MOORE CASAC-T
830 FOREST AVE RM 119
BRONX, NY 10456-7802
Phone number: 718-742-5684
Mailing Address
Mr. MICHAEL T MOORE CASAC-T
830 FOREST AVE RM 119
BRONX, NY 10456-7802
Phone number: