Forward Therapeutic Center
Social Worker, Clinical in Washington, DC. Organization (NPI-2).
NPI number1154094035
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1154094035
- Entity type
- Organization (NPI-2)
- Legal business name
- Forward Therapeutic Center
- Organization subpart
- No
- Enumeration date
- Jul 27, 2021
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4850 Connecticut Ave NwWashington, DC 20008-5941
Phone 332-223-9613
Mailing address
1672 Park Ave Apt 3dNew York, NY 10035-4653
Phone 332-223-9613
Authorized official
Hayward Mouton
Chief Executive Officer
3322239613
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