# FORWARD WELLNESS , INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forward Wellness, Inc., Forward Wellness Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730688656
- **Authorized official:** JOSEPH CHAVEZ (PROGRAM MANAGER)
- **Authorized official phone:** (714) 478-0501

## Contact information

- **Practice address:** 1041 E YORBA LINDA BLVD STE 202, PLACENTIA, CA 92870-3760
- **Practice address phone:** (800) 701-0937
- **Practice address fax:** (800) 701-0937
- **Mailing address:** 1041 E YORBA LINDA BLVD STE 202, PLACENTIA, CA 92870-3760
- **Mailing address phone:** (800) 701-0937
- **Mailing address fax:** (800) 701-0937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 102441 | CA | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 102441 | CA | Yes |

## Other

- **Enumeration date:** 02/06/2018
- **Last updated:** 01/16/2019