Organization
MOVING LIVES FORWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW PETER ALVES (TRAINNEE)
(310) 560-6243
Entity
Organization
Contact information
Practice address
38 DUDLEY AVE APT A, VENICE, CA 90291-2405
(310) 560-6243
Mailing address
38 DUDLEY AVE APT A, VENICE, CA 90291-2405
(310) 560-6243
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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