Organization
PAT MOORE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P. ALLEN (CEO)
(714) 546-2200
Entity
Organization
Contact information
Practice address
2568 NEWPORT BLVD, COSTA MESA, CA 92627-1331
(714) 546-2200
Mailing address
2568 NEWPORT BLVD, COSTA MESA, CA 92627-1331
(714) 546-2200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300136JN
CA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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