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Contact Information

POTENTIAL LIFE RECOVERY
LBN GREGS RECOVERY GROUP
2045 N UNIVERSITY DRIVE
SUNRISE, FL33322
 Phone: 954-947-8732
 Fax: 954-947-8736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for POTENTIAL LIFE RECOVERY

NPI # 1134644537
LBN Legal business name GREGS RECOVERY GROUP
DBA Doing business as POTENTIAL LIFE RECOVERY
Authorized official DANIEL CARO - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2017
Last updated 08/09/2019 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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