| NPI | 1790276210 |
|---|---|
| Other Name | LIVE FORWARD, INC. |
| Entity Type | Organization |
| Authorized Contact | JUSTIN GRANT GILLESPIE Chairman Of The Board 706-549-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |