Moore Mental Health Services, Corporation
Clinical Social Worker in Decatur, GA(View on Map)
Legal Business Name
Moore Mental Health Services, Corporation
NPI Number
1568569135
NPI Type
Organization
Enumeration Date
09/17/2006
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
CSW002089
Contact
Information
Purpose
Mailing
Location
Address
2394 CHARLESTON OAKS LN
2394 CHARLESTON OAKS LN
City
Decatur
Decatur
State
GA
GA
Postal Code
30030-1451
30030-1451
Country
US
US
Telephone Number
(404) 377-4706
(404) 377-4706
Authorized Official
Name
Ms. Erna Klinkhammer-moore
Title or Position
PRESIDENT
Telephone Number
(404) 377-4706
Identifiers
Identifier
055003553A
Identifier State
GA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/02/2013
Provider Address
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