| Forward Therapeutic Center | |
|
4850 Connecticut Ave Nw Washington DC 20008-5941 | |
| (332) 223-9613 | |
| Not Available |
| Full Name | Forward Therapeutic Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4850 Connecticut Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Hayward Mouton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3322239613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Therapeutic Center 1672 Park Ave Apt 3d New York NY 10035-4653 Ph: (332) 223-9613 | Forward Therapeutic Center 4850 Connecticut Ave Nw Washington DC 20008-5941 Ph: (332) 223-9613 |
| NPI Number | 1154094035 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154094035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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