Organization
C.MOORE THERAPEUTIC GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY ELAINE MOORE (CEO/OWNER)
(504) 914-0618
Entity
Organization
Contact information
Practice address
3008 ROSETTA DR, CHALMETTE, LA 70043-3454
(504) 914-0618
Mailing address
3008 ROSETTA DR, CHALMETTE, LA 70043-3454
(504) 914-0618
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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