Provider Demographics
NPI:1760709299
Name:MOORING PROGRAMS, INC
Entity Type:Organization
Organization Name:MOORING PROGRAMS, INC
Other - Org Name:APRICITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, RESIDENTIAL TREATMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERVOORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-731-3981
Mailing Address - Street 1:607 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-5923
Mailing Address - Country:US
Mailing Address - Phone:920-739-3235
Mailing Address - Fax:920-731-4796
Practice Address - Street 1:607 W 7TH ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-5923
Practice Address - Country:US
Practice Address - Phone:920-739-3235
Practice Address - Fax:920-731-4796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1917324500000X
WI1130324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility