Moriarty-Edgewood School District

Organization Active NPI Community/Behavioral Health Agency · Albuquerque, NM

NPI 1346558376 · NPPES record last updated Sep 24, 2010

Key facts

NPI
1346558376
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
X-07138 (NM)
Legal business name
MORIARTY-EDGEWOOD SCHOOL DISTRICT
Practice address
200 Center Dr.
Albuquerque, NM 87035
Phone
(505) 832-5817
NPI assigned
Sep 24, 2010
Organization subpart
No

Authorized official

Name
Mr. Jamaal Austin Moore, LMSW
Title
School Socail Worker
Phone
(757) 450-9804

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X X-07138 NM Yes

Addresses

Primary practice location

200 Center Dr.
Albuquerque, NM 87035

Mailing address

4501 Morris St NE
Apt 2117
Albuquerque, NM 87111-3790
Phone (757) 450-9804

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Community/Behavioral Health Agency in New Mexico

Sources for this page

Verify at the official NPI Registry.