# GREENLIFE IOP PROGRAM

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

## Provider details

- **NPI number:** 1821331091
- **Authorized official:** NEISHA ZAFFUTO (BUSINESS MANAGER)
- **Authorized official phone:** (954) 746-8232

## Contact information

- **Practice address:** 282 NW 162ND AVE, PEMBROKE PINES, FL 33028-1147
- **Practice address phone:** (954) 746-8232
- **Practice address fax:** (954) 746-8981
- **Mailing address:** 282 NW 162ND AVE, PEMBROKE PINES, FL 33028-1147
- **Mailing address phone:** (954) 746-8232
- **Mailing address fax:** (954) 746-8981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1706AD598901 | FL | Yes |

## Other

- **Enumeration date:** 04/05/2013
- **Last updated:** 04/05/2013