Organization
A FOREVER RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANDERSON (EXECUTIVE DIRECTOR)
(269) 788-0496
Entity
Organization
Contact information
Practice address
216 ST MARYS LAKE RD, BATTLE CREEK, MI 49017-9710
(269) 799-0496
(269) 660-1923
Mailing address
216 ST MARYS LAKE RD, BATTLE CREEK, MI 49017-9710
(269) 799-0496
(269) 964-7932
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
130102
MI
324500000X
Substance Abuse Rehabilitation Facility
130123
MI
Other
Enumeration date
10/15/2008
Last updated
09/01/2015
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