Forever Free Substance Abuse and Mental Heath Treament Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FOREVER FREE SUBSTANCE ABUSE AND MENTAL HEATH TREAMENT CENTER

Practice address

724 S Layton Blvd
Milwaukee, WI 53215-1224

Phone

(414) 383-8533

NPI assigned

Jan 5, 2015

Organization subpart

Yes

Parent organization

WAY OF RIGHTEOUSNESSAs reported in NPPES

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

Authorized official

Name

Dr. Charles Green

Title

Executive Director

Phone

(414) 617-1801

Specialties & licenses 2

Addresses

Part of

Forever Free Substance Abuse and Mental Heath Treament Center

Locations

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1245628817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S LAYTON BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151224",
            "telephone_number": "414-383-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S LAYTON BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151224",
            "telephone_number": "414-383-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER FREE SUBSTANCE ABUSE AND MENTAL HEATH TREAMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAY OF RIGHTEOUSNESS",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-617-1801",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WI",
            "license": "3059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forefront Dermatology, S.C.
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• Forefront Dermatology, S.C.
• Forever Blossom Personal Care LLC
• Forever Blossom Transportation
• Forever Home Health Care LLC
• Forever Loving Care LLC
• Forever Worthy LLC
• Marie Mona Forgie, D.O.
• Erin Nicole Forgy, MS, CRC

• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.