Organization
FORWARD IN LIFE LLC
Active
Organization
FORWARD IN LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LITTLE (OWNER)
(480) 404-4159
Entity
Organization
Contact information
Practice address
4249 N 103RD AVE, PHOENIX, AZ 85037-0001
(480) 404-4159
Mailing address
8402 N 33RD DR, PHOENIX, AZ 85051-5916
(480) 404-4159
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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