Provider Demographics
NPI:1598035487
Name:FORREST AND GODFREY RECOVERY SERVICES, LLC.
Entity Type:Organization
Organization Name:FORREST AND GODFREY RECOVERY SERVICES, LLC.
Other - Org Name:SKYE'S THE LIMIT HEALTHY HOUSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SKYE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-774-1323
Mailing Address - Street 1:1128 CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3633
Mailing Address - Country:US
Mailing Address - Phone:310-774-1323
Mailing Address - Fax:
Practice Address - Street 1:1128 CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3633
Practice Address - Country:US
Practice Address - Phone:310-774-1323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility