Provider Demographics
NPI:1972192938
Name:10 FORWARD LLC
Entity Type:Organization
Organization Name:10 FORWARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSON-GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:207-491-4530
Mailing Address - Street 1:69 SEWALL STREET
Mailing Address - Street 2:STE. 3
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330
Mailing Address - Country:US
Mailing Address - Phone:207-491-4530
Mailing Address - Fax:
Practice Address - Street 1:69 SEWALL STREET
Practice Address - Street 2:STE. 3
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330
Practice Address - Country:US
Practice Address - Phone:207-491-4530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health