Greenlife Intensive Outpatient Program, LLC

NPI #1740638717 in Pembroke Pines, Florida

Provider Information

NPI Number
1740638717
Entity Type
Organization
Organization Name
Greenlife Intensive Outpatient Program, LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
May 31, 2016
Last Updated
May 31, 2016

Practice Location

Address
1601 N PALM AVE
Address 2
SUITE 106
State
Florida
ZIP Code
33026-3200
Phone
(954) 854-9053

Authorized Official

Name
NICOLA RAJARAM
Title
BILLING MANAGER
Phone
(954) 272-6723

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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