Individual
DAHLIA WALKS-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 BEVERLEY RD, BROOKLYN, NY 11203-5327
(347) 866-2928
Mailing address
5304 BEVERLEY RD, BROOKLYN, NY 11203-5327
(347) 866-2928
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
002576
NY
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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