Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greenlife Intensive Outpatient Program, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1740638717

Greenlife Intensive Outpatient Program, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1601 N Palm Ave Ste 106
Pembroke Pines, FL 33026-3200
Phone: (954) 854-9053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X (FL)

Record details

NPI number1740638717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicola Rajaram — Billing Manager · (954) 272-6723
NPI enumeratedMay 31, 2016
Last updated in NPPESMay 31, 2016
Mailing address282 Nw 162nd Ave, Pembroke Pines, FL 33028-1147

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