Organization
ROAD TO RECOVERY NEUROPSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS VINCENT MOORE JR. (OWNER)
(404) 884-3321
Entity
Organization
Contact information
Practice address
6131 S NORCROSS TUCKER RD STE 6, NORCROSS, GA 30093-5536
(833) 647-7924
Mailing address
6131 S NORCROSS TUCKER RD STE 6, NORCROSS, GA 30093-5536
(833) 647-7924
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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