C.Moore Therapeutic Group Home, LLC

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chalmette, LA

NPI 1679937015 · NPPES record last updated Apr 12, 2016

Key facts

NPI
1679937015
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
C.MOORE THERAPEUTIC GROUP HOME, LLC
Practice address
3008 Rosetta Dr
Chalmette, LA 70043-3454
Phone
(504) 914-0618
NPI assigned
Apr 12, 2016
Organization subpart
No

Authorized official

Name
Ms. Cathy Elaine Moore
Title
Ceo/Owner
Phone
(504) 914-0618

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

3008 Rosetta Dr
Chalmette, LA 70043-3454

Mailing address

3008 Rosetta Dr
Chalmette, LA 70043-3454
Phone (504) 914-0618

Other providers in Chalmette, LA

All providers in Chalmette, LA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.