A Forever Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

130115 Issued in MI

Legal business name

A FOREVER RECOVERY

Practice address

163 North Ave
Battle Creek, MI 49017-3426

Phone

(888) 887-9486

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Per Wickstrom

Title

Ceo

Phone

(231) 218-4406

Specialties & licenses 1

Addresses

Tax ID family

A Forever Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Forever Recovery

  • Substance Abuse Rehabilitation Facility
  • Battle Creek, MI
  • NPI 1992957542
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1245584150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ST MARYS LAKE RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490179710",
            "telephone_number": "888-887-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 NORTH AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173426",
            "telephone_number": "888-887-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FOREVER RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "WICKSTROM",
        "authorized_official_first_name": "PER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-218-4406"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "130115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 20TH Street Clinic PC
• A Forever Recovery
• Abby Olsen Consulting, LLC
• Fuad Abdeljaber
• Abe Bansali M.D PC
• Douglas Johan Abraham, APRN, FNP-C, ENP-C,

• Substance Abuse Rehabilitation Facility in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.