Organization
WILLING 2 MOVE FORWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANNE TALBOTT (EXECUTIVE DIRECTOR)
(562) 528-2139
Entity
Organization
Contact information
Practice address
5543 ATLANTIC AVE STE B, LONG BEACH, CA 90805-5412
(562) 612-1524
Mailing address
1104 OLIVE AVE, LONG BEACH, CA 90813-3521
(562) 528-2139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
03/28/2025
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