# ADDICTION MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1316285950
- **Authorized official:** MR. JAMES DATSON HERNDON PA-C (DIRECTOR)
- **Authorized official phone:** (206) 852-8815

## Contact information

- **Practice address:** 777 E TAHQUITZ CANYON WAY STE 46, PALM SPRINGS, CA 92262-6784
- **Practice address phone:** (206) 852-8815
- **Practice address fax:** (760) 406-6077
- **Mailing address:** 1250 OAKHURST CT, BEAUMONT, CA 92223-9705
- **Mailing address phone:** (206) 852-8815
- **Mailing address fax:** (760) 406-6077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | PA16694 | CA | Yes |

## Other

- **Enumeration date:** 01/16/2013
- **Last updated:** 01/23/2013