Organization
COREY A. MOORE UBU SPORTS MENTORING
Active
Organization
COREY A. MOORE UBU SPORTS MENTORING
Active
Parent organization
UBU SPORTS MENTORING
Other names
UBU SPORTS MENTORING
Organization subpart
Yes
Provider details
NPI number
Legal business name
UBU SPORTS MENTORING
Authorized official
MR. COREY A. MOORE BS, MBA (OWNER/DIRECT SUPERVISON)
(941) 587-4953
Entity
Organization
Contact information
Practice address
5135 CAMINO AL NORTE AVE., SUITE 100, NORTH LAS VEGAS, NV 89031-8104
(941) 587-4953
(702) 853-7001
Mailing address
5135 CAMINO AL NORTE AVE., SUITE 100, NORTH LAS VEGAS, NV 89031-8104
(941) 587-4953
(702) 853-7001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20151051263
NV
Other
Enumeration date
05/22/2015
Last updated
04/20/2016
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