Organization
MOVING FORWARD RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAWSON (PRESIDENT)
(740) 858-6683
Entity
Organization
Contact information
Practice address
9620 CAREYS RUN POND CREEK RD, MC DERMOTT, OH 45652-3902
(740) 858-6683
Mailing address
PO BOX 402, WHEELERSBURG, OH 45694-0402
(740) 858-6683
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/03/2024
Last updated
04/08/2024
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