Organization
FWDIOP INC
Active
Parent organization
FORWARD BEHAVIORAL & MENTAL HEALTH
Other names
Forward Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORWARD BEHAVIORAL & MENTAL HEALTH
Authorized official
SHAUN TUCKER (PROGRAM MANAGER)
(559) 355-0089
Entity
Organization
Contact information
Practice address
2261 VILLA AVE STE 106, CLOVIS, CA 93612-4377
(559) 355-0089
Mailing address
1111 E HERNDON AVE STE 211, FRESNO, CA 93720-3100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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