Organization
PAT MOORE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P ALLEN CAS, CCDC (EXECUTIVE DIRECTOR)
(714) 546-2200
Entity
Organization
Contact information
Practice address
1905 W HALL AVE, SANTA ANA, CA 92704-5621
(714) 546-2200
(714) 546-2210
Mailing address
1905 W HALL AVE, SANTA ANA, CA 92704-5621
(714) 546-2200
(714) 546-2210
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300136AN
CA
Other
Enumeration date
08/23/2005
Last updated
08/22/2020
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