Organization
FLORENCE DRUG & ALCOHOL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY POLISHCHUCK (EXECUTIVE DIRECTOR)
(818) 915-1761
Entity
Organization
Contact information
Practice address
9671 N. SUNLAND BLVD, SUITE 2A, SUNLAND, CA 91040-9998
(818) 915-1761
Mailing address
9671 N. SUNLAND BLVD, SUITE 2A, SUNLAND, CA 91040-9998
(818) 915-1761
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/22/2008
Last updated
07/08/2013
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