Organization
SOWC ASSOCIATES LLC
Active
Other names
Serenity Oaks Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN LASKO (OWNER)
(954) 675-0009
Entity
Organization
Contact information
Practice address
4200 SW 54TH CT, FT LAUDERDALE, FL 33314-6726
(877) 447-7430
Mailing address
PO BOX 640527, MIAMI, FL 33164-0527
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
FL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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