Florence Drug & Alcohol Treatment Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FLORENCE DRUG & ALCOHOL TREATMENT CENTER

Practice address

9671 N. Sunland Blvd
Suite 2a
Sunland, CA 91040-9998

Phone

(818) 915-1761

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sergey Polishchuck

Title

Executive Director

Phone

(818) 915-1761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1407092406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 N. SUNLAND BLVD",
            "address_2": "SUITE 2A",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910409998",
            "telephone_number": "818-915-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 N. SUNLAND BLVD",
            "address_2": "SUITE 2A",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910409998",
            "telephone_number": "818-915-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE DRUG & ALCOHOL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "POLISHCHUCK",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-915-1761",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Sunland, CA
• Providers in Sunland, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.