Provider Demographics
NPI:1821433350
Name:FAMILY FORWARD, INC.
Entity Type:Organization
Organization Name:FAMILY FORWARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANI
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MHR, PHR
Authorized Official - Phone:405-476-2722
Mailing Address - Street 1:7901 NE 10TH ST
Mailing Address - Street 2:A209
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-3600
Mailing Address - Country:US
Mailing Address - Phone:405-962-9191
Mailing Address - Fax:866-422-5922
Practice Address - Street 1:7901 NE 10TH ST
Practice Address - Street 2:A209
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3600
Practice Address - Country:US
Practice Address - Phone:405-962-9191
Practice Address - Fax:866-422-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management