Individual provider · Type 1 NPI

Cisco Moore

Community/Behavioral Health Agency · Ravenna, OH

NPI number 1700479508 Active

Practice location

4300 Lynn Rd Ste 201
Ravenna, OH 44266-7838

Call (216) 264-0008 Map

Mailing address

268 E Lods St
Akron, OH 44304-1110

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1700479508

Cisco Moore's National Provider Identifier is 1700479508, issued on Feb 12, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Ravenna, OH. The record was last updated on Feb 12, 2021.