John Moore, RESCO-ORDOBPH
John Moore, RESCO-ORDOBPH is a Mental Illness Community Based Residential Treatment Facility in Gary, Indiana. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1100 W 6th AveGary, IN 46402-1711
Phone: (219) 885-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1356758866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RESCO-ORDOBPH |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2014 |
| Last updated in NPPES | July 16, 2014 |
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