Organization
LAS OLAS RECOVERY
Active
Other names
Pathway to Hope
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BORKOWSKI (AUTHORIZED OFFICIAL)
(954) 487-1224
Entity
Organization
Contact information
Practice address
600 SE 2ND CT, FORT LAUDERDALE, FL 33301-3621
(754) 201-2265
Mailing address
600 SE 2ND CT, FORT LAUDERDALE, FL 33301-3621
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1706AD908201
FL
324500000X
Substance Abuse Rehabilitation Facility
1706AD908202
FL
Other
Enumeration date
06/21/2012
Last updated
03/13/2020
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