Organization
FORWARD WELLNESS , INC.
Active
Other names
Forward Wellness, Inc., Forward Wellness Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CHAVEZ (PROGRAM MANAGER)
(714) 478-0501
Entity
Organization
Contact information
Practice address
1041 E YORBA LINDA BLVD STE 202, PLACENTIA, CA 92870-3760
(800) 701-0937
(800) 701-0937
Mailing address
1041 E YORBA LINDA BLVD STE 202, PLACENTIA, CA 92870-3760
(800) 701-0937
(800) 701-0937
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
102441
CA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
102441
CA
Other
Enumeration date
02/06/2018
Last updated
01/16/2019
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