Organization
DUAL DIAGNOSIS TREATMENT CENTER, INC.
Active
Other names
Sovereign Health of California
Organization subpart
No
Provider details
NPI number
Authorized official
RON GIRSKIS (BUSINESS OPERATIONS SPECIALIST)
(949) 359-8273
Entity
Organization
Contact information
Practice address
69508 BORREGO RD, CATHEDRAL CITY, CA 92234-4923
(949) 359-8273
(949) 943-1541
Mailing address
PO BOX 5705, SAN CLEMENTE, CA 92674-5705
(949) 625-0376
(949) 390-9899
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300217AN
CA
Other
Enumeration date
02/09/2009
Last updated
10/19/2020
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