Organization
FORWARD THERAPEUTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYWARD MOUTON (CHIEF EXECUTIVE OFFICER)
(332) 223-9613
Entity
Organization
Contact information
Practice address
4850 CONNECTICUT AVE NW, WASHINGTON, DC 20008-5941
(332) 223-9613
Mailing address
1672 PARK AVE APT 3D, NEW YORK, NY 10035-4653
(332) 223-9613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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