Organization
OCEAN BREEZE DETOX LLC
Active
Other names
Vista Pines
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BORKOWSKI (CFO)
(954) 487-1224
Entity
Organization
Contact information
Practice address
1300 HIBISCUS DR, PEMBROKE PINES, FL 33025-4556
(855) 730-4981
(954) 337-6238
Mailing address
1901 W CYPRESS CREEK RD STE 500, FORT LAUDERDALE, FL 33309-1862
(954) 337-6238
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/20/2021
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