Provider Demographics
NPI:1831834167
Name:MOVING FORWARD NETWORK
Entity type:Organization
Organization Name:MOVING FORWARD NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARLITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-588-7949
Mailing Address - Street 1:122 WEXFORD PL
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-1058
Mailing Address - Country:US
Mailing Address - Phone:215-588-7949
Mailing Address - Fax:
Practice Address - Street 1:9150 MARSHALL ST STE 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-2217
Practice Address - Country:US
Practice Address - Phone:215-909-9621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable