person
John Moore, RESCO-ORDOBPH
Mental Illness Community Based Residential Treatment Facility in Gary, Indiana
NPI 1356758866

John Moore is a Mental Illness Community Based Residential Treatment Facility based in Gary, IN. John Moore practices in Gary, IN and has the professional credentials of RESCO-ORDOBPH. The NPI Number for John Moore is 1356758866 and holds a License No. (Indiana).

The current practice location address for John Moore is 1100 W 6Th Ave, Gary, IN and can be reached out via phone at 219-885-4264. You can also correspond with John Moore through the mailing address at 1100 W 6TH AVE, GARY, IN - 46402-1711 (mailing address contact number: 219-885-4264).

Location: 1100 W 6Th Ave, Gary, IN, 46402-1711
person
Provider Profile Details
NPI Number
1356758866
Provider Name
John Moore
Credential
RESCO-ORDOBPH
Provider Entity Type
Individual
Gender
Male
Address
1100 W 6Th Ave, Gary, IN, 46402-1711
Phone Number
219-885-4264
Fax Number
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
State
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
State
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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