# GREG'S RECOVERY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Potential Life Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518478940
- **Authorized official:** JESSICA A WATKINS (CEO)
- **Authorized official phone:** (561) 213-4103

## Contact information

- **Practice address:** 2045 N UNIVERSITY DR, SUNRISE, FL 33322-3936
- **Practice address phone:** (954) 947-8732
- **Mailing address:** 2045 N UNIVERSITY DR, SUNRISE, FL 33322-3936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2017
- **Last updated:** 12/12/2018