Organization
DCOA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG BREWTON (OWNER)
(954) 593-2082
Entity
Organization
Contact information
Practice address
208 SE 8TH ST, FORT LAUDERDALE, FL 33316-1014
(954) 593-2082
Mailing address
208 SE 8TH ST, FORT LAUDERDALE, FL 33316-1014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/17/2021
Last updated
07/23/2021
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