State Health Care Dual Diagnosis Program
State Health Care Dual Diagnosis Program is a Substance Use Disorder Rehabilitation Clinic/Center in Fresno, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1145 W Hedges Ave Ste BFresno, CA 93728-1219
Phone: (310) 628-9512
Fax: (818) 804-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence 100056BP (CA) |
|---|
Record details
| NPI number | 1720299175 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edna Miller — President · (310) 628-9512 |
| Other names | State Health Care Dual Diagnosis Program |
| NPI enumerated | May 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 19300 Rinaldi St, Suite 8270, Northridge, CA 91326-1651 |
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