NPI | 1730688656 |
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Doing Business As | FORWARD WELLNESS TREATMENT CENTER |
Former Legal Business Name | FORWARD WELLNESS, INC. |
Entity Type | Organization |
Authorized Contact | JOSEPH CHAVEZ Program Manager 714-478-0501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 102441) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102441) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2019-01-16 |