Organization
DUAL DIAGNOSIS TREATMENT CENTER, INC.
Active
Other names
Sovereign By The Sea I
Organization subpart
No
Provider details
NPI number
Authorized official
TONMOY SHARMA (CEO)
(610) 416-1205
Entity
Organization
Contact information
Practice address
601 CALLE REAL, SAN CLEMENTE, CA 92673-2624
(302) 354-9310
Mailing address
PO BOX 5915, SAN CLEMENTE, CA 92674-5915
(949) 625-0376
(949) 390-9899
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
10/19/2020
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