NPIMap

Organization Active NPI

Center for Drug Free Living

  • Substance Abuse Rehabilitation Facility
  • Orlando, FL
National Provider Identifier
1215277173
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SW 10825 Issued in FL
Legal business name
CENTER FOR DRUG FREE LIVING
Practice address
1405 W Michigan St
Orlando, FL 32805-6123
Phone
(407) 245-0020
Fax
(407) 650-6208
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Shannon Marie Olesen, LCSW
Title
Housing Case Manager
Phone
(407) 245-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SW 10825 FL Primary

Addresses

Primary practice location

1405 W Michigan St
Orlando, FL 32805-6123

Mailing address

1405 W Michigan St
Orlando, FL 32805-6123
Phone (407) 245-0020

National Provider Directory

National Provider Directory
Tax ID family
The Center for Drug Free Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1215277173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056123",
            "telephone_number": "407-245-0020",
            "fax_number": "407-650-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328056123",
            "telephone_number": "407-245-0020",
            "fax_number": "407-650-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DRUG FREE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "OLESEN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HOUSING CASE MANAGER",
        "authorized_official_telephone_number": "407-245-0020",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "SW 10825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.