RESIDENTIAL DETOX & SUD TREATMENT
NPI 1154840320
Substance Abuse Rehabilitation Facility in Palmdale, CA

Q: What is Antelope Valley Community Clinic's NPI number?

The NPI number for Antelope Valley Community Clinic is 1154840320. It was assigned to this organization in the NPPES registry on September 19, 2017. The provider is doing business as Residential Detox & Sud Treatment.

Q: What is Antelope Valley Community Clinic's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since September 19, 2017

502 SUGAR LOAF DR, PALMDALE, CA 93551(661) 942-2391 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2019, Sep 19, 2017 (2 updates tracked since 2017).

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About Residential Detox & Sud Treatment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESIDENTIAL DETOX & SUD TREATMENT (NPI 1154840320) is a healthcare organization registered as a substance abuse rehabilitation facility in Palmdale, California and active in the NPI registry since September 2017. The organization lists James Cook, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1154840320

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameANTELOPE VALLEY COMMUNITY CLINIC

Location Address502 SUGAR LOAF DRPalmdale, CA 93551-7953

Mailing Address45104 10th St WLancaster, CA 93534-2310 · (661) 942-2391

Phone(661) 942-2391

Organization SubpartNo

Authorized OfficialJames CookAdministrator/ceo · (661) 942-2391

Enumeration DateSeptember 19, 2017

Last NPPES UpdateMay 23, 20192 updates tracked since enumeration

✔ NPI 1154840320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

502 SUGAR LOAF DR, Palmdale, CA 93551

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Other Names 1

Doing Business AsResidential Detox & Sud Treatment

Other Identifiers 1

Other190045ANCA · State Licencse

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREEDOM ADDICTION THERAPEUTIC SERVICES,INC.

Substance Abuse Rehabilitation Facility

502 SUGAR LOAF DR
PALMDALE, CA 93551

Los Angeles County (661) 526-7495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antelope Valley Community Clinic's NPI number?

The NPI number for Antelope Valley Community Clinic is 1154840320. It was assigned to this organization in the NPPES registry on September 19, 2017. The provider is doing business as Residential Detox & Sud Treatment.

Where is Antelope Valley Community Clinic located?

Antelope Valley Community Clinic is located at 502 Sugar Loaf Dr, Palmdale, CA 93551. The listed phone number is (661) 942-2391.

What is Antelope Valley Community Clinic's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Antelope Valley Community Clinic was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.