| Greenlife Intensive Outpatient Program Llc | |
|
1601 N Palm Ave Ste 106 Pembroke Pines FL 33026-3240 | |
| (954) 854-3053 | |
| Not Available |
| Full Name | Greenlife Intensive Outpatient Program Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1601 N Palm Ave Ste 106, Pembroke Pines, Florida |
| Authorized Official Name and Position | Zvi Aharon Itzchaki (CEO) |
| Authorized Official Contact | 9543046922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenlife Intensive Outpatient Program Llc 1601 N Palm Ave Ste 106 Pembroke Pines FL 33026-3240 Ph: (954) 304-6922 | Greenlife Intensive Outpatient Program Llc 1601 N Palm Ave Ste 106 Pembroke Pines FL 33026-3240 Ph: (954) 854-3053 |
| NPI Number | 1851729982 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851729982 | NPI | - | NPPES |
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