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G & G HOLISTIC ADDICTION TREATMENT PROGRAM NPI 1932262482


NPI Information

NPI: 1932262482
Provider Name: G & G HOLISTIC ADDICTION TREATMENT PROGRAM

Other Name: HOLISTIC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1590 NE 162ND ST
NORTH MIAMI BEACH, FL
ZIP 33162
Phone: (305) 945-8384
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G & G HOLISTIC ADDICTION TREATMENT PROGRAM is a substance abuse rehabilitation facility in North Miami Beach, 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. G & G HOLISTIC ADDICTION TREATMENT PROGRAM NPI is 1932262482. The provider is registered as an organization entity type.
The provider Other Name Is Holistic.

The provider's business location address is:

1590 NE 162ND ST
NORTH MIAMI BEACH, FL
ZIP 33162-759
Phone: (305) 945-8384

The provider's authorized official is Jerry Goldfarb .
The authorized official title is Ceo and has the following contact phone number (305) 945-8384.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/10/2008.


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 Facility1113AD165001FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11113AD165001OTHERFLORIDASTATE LICENSE

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: 5/5/2024

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