BRYAN J MOORE

CANTON, NY
NPI1124430871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-05-29
Last Update Date2014-05-29
Business Address
Mr. BRYAN J MOORE
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617
Phone number: 315-386-2189
Mailing Address
Mr. BRYAN J MOORE
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617
Phone number: 315-386-2189