# FLORENCE DRUG & ALCOHOL TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407092406
- **Authorized official:** MR. SERGEY POLISHCHUCK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (818) 915-1761

## Contact information

- **Practice address:** 9671 N. SUNLAND BLVD, SUITE 2A, SUNLAND, CA 91040-9998
- **Practice address phone:** (818) 915-1761
- **Mailing address:** 9671 N. SUNLAND BLVD, SUITE 2A, SUNLAND, CA 91040-9998
- **Mailing address phone:** (818) 915-1761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 07/08/2013