Organization
MOORE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A MOORE BA (FACILITY DIRECTOR)
(814) 942-5588
Entity
Organization
Contact information
Practice address
1512 12TH AVE, ALTOONA, PA 16601-3312
(814) 942-5588
(814) 942-1698
Mailing address
1512 12TH AVE, ALTOONA, PA 16601-3312
(814) 942-5588
(814) 942-1698
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
077027
PA
261QM0850X
Adult Mental Health Clinic/Center
077027
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
077027
PA
Other
Enumeration date
05/07/2010
Last updated
06/21/2010
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