Organization
DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC
Active
Other names
Health Care Integrated Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDNA ELIZABETH MILLER D.D., PSY. ED (PRESIDENT)
(310) 256-8809
Entity
Organization
Contact information
Practice address
2600 N CENTRAL AVE, B1, COMPTON, CA 90222-1640
(888) 417-5163
(888) 316-1604
Mailing address
PO BOX 92619, LONG BEACH, CA 90809-2619
(310) 256-8809
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
96000148
CA
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM71096F
MEDI CAL DEPT OF HUMAN SV
CA
Enumeration date
05/19/2006
Last updated
10/28/2015
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