Moore Alcohol and Drug Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOORE ALCOHOL AND DRUG CENTER

Practice address

624 NW 5TH St
Moore, OK 73160-3924

Phone

(405) 799-3379

Fax

(405) 799-0912

NPI assigned

Apr 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Ann Williams, LMFT

Title

Director of Outpatient Services

Phone

(405) 799-3379

Specialties & licenses 1

Addresses

Tax ID family

Moore Alcohol and Drug Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moore Youth and Family Services

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1487871695
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205056546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 NW 5TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603924",
            "telephone_number": "405-799-3379",
            "fax_number": "405-799-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 NW 5TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603924",
            "telephone_number": "405-799-3379",
            "fax_number": "405-799-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE ALCOHOL AND DRUG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OUTPATIENT SERVICES",
        "authorized_official_telephone_number": "405-799-3379",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan M Mitchell, DO
• Modern Dental Professionals - Oklahoma, PC
• Madelyn Mohon
• Nevaeh Molina
• Kris A Molskness, PTA
• Moore Autism Center, P.C.
• Moore Care LLC
• Moore Chiropractic
• Moore Counseling Center, P.C.
• Moore Emergency Physicians, LLC

• Community/Behavioral Health Agency in Moore, OK
• Providers in Moore, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.