Organization
MOVING FORWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAN DOUGLASS (CEO)
(443) 415-7379
Entity
Organization
Contact information
Practice address
16 W 25TH ST STE 206, BALTIMORE, MD 21218-5002
(443) 415-7379
Mailing address
16 W 25TH ST STE 206, BALTIMORE, MD 21218-5002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/08/2023
Last updated
01/03/2025
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