| NPI | 1134644537 |
|---|---|
| Doing Business As | POTENTIAL LIFE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | DANIEL S CARO Partner 954-243-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2019-08-09 |