Provider Demographics
NPI:1962008508
Name:MOORE CENTER SERVICES, INC.
Entity Type:Organization
Organization Name:MOORE CENTER SERVICES, INC.
Other - Org Name:THE MOORE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VP
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:CAROLINE
Authorized Official - Last Name:DOUCETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-206-2700
Mailing Address - Street 1:195 MCGREGOR STREET, UNIT 400
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102
Mailing Address - Country:US
Mailing Address - Phone:603-206-2700
Mailing Address - Fax:603-792-8302
Practice Address - Street 1:195 MCGREGOR STREET, UNIT 400
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102
Practice Address - Country:US
Practice Address - Phone:603-206-2700
Practice Address - Fax:603-792-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3081128Medicaid
NH99590027Medicaid
NH3074011Medicaid
NH3072381Medicaid
NH3073399Medicaid
NH3081129Medicaid
NH60000007Medicaid
NH99560057Medicaid
NH99590007Medicaid
NH30593822Medicaid
NH3111616Medicaid
NH3077305Medicaid
NH3139966Medicaid
NH99560007Medicaid