Dual Diagnosis Assesment And Treatment Center Inc

NPI 1093701534 - Clinic/Center - 261Q00000X

NPI Details
NPI 1093701534
Enumeration Date 09/20/2005
Last Updated 01/23/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name EDNA ELIZABETH EDNA
Position PRESIDENT
Phone (310) 628-9512
Fax (818) 831-3416
Practice Location
19300 RINALDI ST
NORTHRIDGE CA, 91326-1651, US
Phone (310) 628-9512
Fax (818) 831-3416
Business Location
19300 RINALDI STREET
NORTHRIDGE CA, 91327-9998, US
Phone (818) 804-4043
Fax (818) 804-4047
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number 55000015
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According to our database, Dual Diagnosis Assesment And Treatment Center Inc NPI is 1093701534, taxonomy code is 261Q00000X and license number is 55000015, license state is located at California. Dual Diagnosis Assesment And Treatment Center Inc physically located at 19300 Rinaldi St, Northridge CA, 91326-1651. NPI Number 1033115704 has the healthcare provider type.

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1093701534 NPI number is provided on an as is basis without warranty of any kind. 1093701534 is maintained by the National Plan & Provider Enumeration System. The contents of Dual Diagnosis Assesment And Treatment Center Inc are for informational purposes only.