| Moving Forward Residential Llc | |
|
9620 Careys Run Pond Creek Rd Mc Dermott OH 45652-3902 | |
| (740) 858-6683 | |
| Not Available |
| Full Name | Moving Forward Residential Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9620 Careys Run Pond Creek Rd, Mc Dermott, Ohio |
| Authorized Official Name and Position | Michele Lawson (PRESIDENT) |
| Authorized Official Contact | 7408586683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Forward Residential Llc Po Box 402 Wheelersburg OH 45694-0402 Ph: (740) 858-6683 | Moving Forward Residential Llc 9620 Careys Run Pond Creek Rd Mc Dermott OH 45652-3902 Ph: (740) 858-6683 |
| NPI Number | 1811767684 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811767684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
Moving Forward Residential Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7175 State Route 104, Mc Dermott, OH 45652 Phone: 740-858-6683 |