Organization
SECOND CHANCE DETOX, LLC
Active
Other names
Pines Recovery Life
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMAR REBECCA MARKOVICH (C.E.O)
(954) 505-5550
Entity
Organization
Contact information
Practice address
1151 POINCIANA DR, PEMBROKE PINES, FL 33025-4561
(954) 505-5550
(954) 606-0248
Mailing address
1190 HIBISCUS DR, PEMBROKE PINES, FL 33025-4554
(954) 505-5550
(954) 606-0248
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
09/29/2022
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