Organization
DUAL DIAGNOSIS ASSESMENT AND TREATMENT CENTER INC
Active
Organization
DUAL DIAGNOSIS ASSESMENT AND TREATMENT CENTER INC
Active
Other names
Health Care Dual Diagnosis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDNA ELIZABETH MILLER (PRESIDENT)
(818) 804-4043
Entity
Organization
Contact information
Practice address
19300 RINALDI ST, NORTHRIDGE, CA 91326-1651
(310) 628-9512
(818) 831-3416
Mailing address
19300 RINALDI STREET, NORTHRIDGE, CA 91327-9998
(818) 804-4043
(818) 804-4047
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
55000015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM71075F
MEDI-CAL
CA
Enumeration date
09/20/2005
Last updated
01/23/2008
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