Organization
GREGS RECOVERY GROUP
Active
Other names
Potential Life Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S CARO (PARTNER)
(954) 243-8291
Entity
Organization
Contact information
Practice address
2045 N UNIVERSITY DRIVE, SUNRISE, FL 33322
(954) 947-8732
(954) 947-8736
Mailing address
2045 N UNIVERSITY DRIVE, SUNRISE, FL 33322
(561) 213-4103
(954) 947-8736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/07/2017
Last updated
08/09/2019
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