Ocean Breeze Detox, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Ft Lauderdale, FL. Organization (NPI-2).
NPI number1164051967
StatusActive
Last updated in NPPESAug 25, 2021
Details
- NPI
- 1164051967
- Entity type
- Organization (NPI-2)
- Legal business name
- Ocean Breeze Detox, LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2020
- Certification date
- Aug 25, 2021
- Last updated
- Aug 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Other names
- Pathway To Hope (Doing Business As)
Practice location
3100 E Commercial BlvdFt Lauderdale, FL 33308-4327
Phone 954-893-2710
Mailing address
Po Box 715328Cincinnati, OH 45271-5328
Authorized official
Michael Borkowski
Authorized Offical
9544871224
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