IndividualActive
Mary Moore
NPI 1558183293 · Substance Abuse Rehabilitation Facility · Arden, NC
Provider details
- NPI number
- 1558183293
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
110 Oak Ter
Arden, NC 28704-2917
Phone: (818) 664-8566
Approximate (ZIP-level) locationGet directions
Mailing address
110 Oak Ter
Arden, NC 28704-2917
Registry dates
- Enumerated
- 2024-10-24
- Last updated
- 2024-10-24
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.