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General NPI Number Information
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NPI Number | 1417595547
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Entity Type | Organization
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Legal Business Name | FORWARD RECOVERY SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/19/2019
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1428 ROXBURY DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-2815
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Country | US
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Telephone | 213-858-3786
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Fax |
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Provider Business Mailing Address
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Address Line | 9740 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-4711
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Country | US
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Telephone | 213-858-3786
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LONNIE MCCREERY
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Credential | CADC II
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Telephone | 213-858-3786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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