# OCEAN BREEZE DETOX LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699444760
- **Authorized official:** MICHAEL BORKOWSKI (CFO)
- **Authorized official phone:** (954) 487-1224

## Contact information

- **Practice address:** 1301 POINCIANA DR, PEMBROKE PINES, FL 33025-4563
- **Practice address phone:** (855) 730-4981
- **Practice address fax:** (954) 337-6238
- **Mailing address:** 1901 W CYPRESS CREEK RD STE 500, FORT LAUDERDALE, FL 33309-1862
- **Mailing address fax:** (954) 337-6238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/10/2021
- **Last updated:** 10/13/2022