Organization
DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC.
Active
Other names
Health Care Enrichment, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDNA MILLER D.D., PSY. ED. (PRESIDENT)
(310) 628-9512
Entity
Organization
Contact information
Practice address
1984 OBISPO AVE, STE. 1A, SIGNAL HILL, CA 90755-1234
(310) 628-9512
Mailing address
PO BOX 92619, LONG BEACH, CA 90809-2619
(310) 628-9512
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71069F
—
CA
Enumeration date
04/22/2011
Last updated
03/21/2012
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