NPI 1811464522
Larry Moore, MHA
Practice location
- Address
- 620 N Church St APT 1603, Charlotte, NC 28202-3299
- Phone
- (330) 209-7118
Registered specialties (2)
Day Training/Habilitation Specialist
Primary
Adult Companion
Registry record
- NPI
- 1811464522
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Oct 2018
- Record last updated
- 31 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.