G & G Holistic Addiction Treatment Program

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1113AD165001 Issued in FL

Legal business name

G & G HOLISTIC ADDICTION TREATMENT PROGRAM

Practice address

1590 NE 162ND St
North Miami Beach, FL 33162-4759

Phone

(305) 945-8384

NPI assigned

Dec 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry Goldfarb

Title

Ceo

Phone

(305) 945-8384

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holistic Other name

Tax ID family

G G Holistic Addiction Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• G & G Holistic Addiction Treatment

  • Substance Abuse Rehabilitation Facility
  • North Miami Beach, FL
  • NPI 1538464292
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1932262482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 NE 162ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624759",
            "telephone_number": "305-945-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NE 162ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624759",
            "telephone_number": "305-945-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & G HOLISTIC ADDICTION TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-945-8384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1113AD165001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1113AD165001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Functional Integrative Therapy Clinic, Inc. (Fit for Kids)
• Mateo Furlan
• Neil Furman, D.O
• G & G Healthcare Services LLC
• G & G Holistic Addiction Treatment
• G Clear Vision
• G.R.O.W.T.H. Counseling and Therapy
• G.R.O.W.T.H. Counseling and Therapy
• G.R.O.W.T.H. Counseling and Therapy, LLC
• Liudmila Gagieva

• Substance Abuse Rehabilitation Facility in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.