| NPI | 1124510979 |
|---|---|
| Former Legal Business Name | VICTORIA MOORE THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | TE YOU MOORE Owner 312-809-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180.011449) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-08-21 |