| Greenlife Iop Program | |
|
282 Nw 162nd Ave Pembroke Pines FL 33028-1147 | |
| (954) 746-8232 | |
| (954) 746-8981 |
| Full Name | Greenlife Iop Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 282 Nw 162nd Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Neisha Zaffuto (BUSINESS MANAGER) |
| Authorized Official Contact | 9547468232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenlife Iop Program 282 Nw 162nd Ave Pembroke Pines FL 33028-1147 Ph: (954) 746-8232 | Greenlife Iop Program 282 Nw 162nd Ave Pembroke Pines FL 33028-1147 Ph: (954) 746-8232 |
| NPI Number | 1821331091 |
|---|---|
| Provider Enumeration Date | 04/05/2013 |
| Last Update Date | 04/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821331091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1706AD598901 (Florida) | Primary |
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