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Organization
GREENLIFE IOP PROGRAM
Active
Organization
GREENLIFE IOP PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEISHA ZAFFUTO (BUSINESS MANAGER)
(954) 746-8232
Entity
Organization
Contact information
Practice address
282 NW 162ND AVE, PEMBROKE PINES, FL 33028-1147
(954) 746-8232
(954) 746-8981
Mailing address
282 NW 162ND AVE, PEMBROKE PINES, FL 33028-1147
(954) 746-8232
(954) 746-8981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1706AD598901
FL
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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