Organization
GREG'S RECOVERY GROUP
Active
Other names
Potential Life Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA A WATKINS (CEO)
(561) 213-4103
Entity
Organization
Contact information
Practice address
2045 N UNIVERSITY DR, SUNRISE, FL 33322-3936
(954) 947-8732
Mailing address
2045 N UNIVERSITY DR, SUNRISE, FL 33322-3936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
12/12/2018
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