MOORERESIDENCE HOME, INC

NPI # 

Practice Address:

16305 107Th Ave , Suite 1R

Jamaica, NY, 11433-2101

Practice Phone:

718-739-7420

Practice Fax:

718-487-3722

License Number:

10889

License State:

NY

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Addiction (Substance Use Disorder)

Taxonomy Code:

101YA0400X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1154468015 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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