SECOND CHANCE DETOX LLC NPI 1558806042

NPI Information

  • NPI: 1558806042
  • Provider Name: SECOND CHANCE DETOX, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: PINES RECOVERY LIFE
  • Address: 1151 POINCIANA DR
    PEMBROKE PINES, FL
    ZIP 33025
  • Phone: (954) 505-5550

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NPI Details

SECOND CHANCE DETOX, LLC is a substance abuse rehabilitation facility in Pembroke Pines, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SECOND CHANCE DETOX, LLC NPI is 1558806042. The provider is registered as an organization entity type.
The provider Is Doing Business As Pines Recovery Life.

The provider's business location address is:

1151 POINCIANA DR
PEMBROKE PINES, FL
ZIP 33025-561
Phone: (954) 505-5550
Fax: (954) 606-0248

The provider's authorized official is Tamar Rebecca Markovich .
The authorized official title is C.e.o and has the following contact phone number (954) 505-5550.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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