| NPI | 1154468015 |
|---|---|
| Other Name | MOORE RESIDENCE HOME, INC. MULTI PURPOSE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONNA A MOORE Founder President 718-739-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 10889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003801-1) |
| 164W00000X Licensed Practical Nurse (Licence: NY 209905-1) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |