institution
State Health Care Dual Diagnosis
Substance Use Disorder Rehabilitation Clinic/Center in Fresno, California
NPI 1689884595

State Health Care Dual Diagnosis is a Substance Use Disorder Rehabilitation Clinic/Center based in Northridge, CA and is specialized in Rehabilitation, Substance Use Disorder. State Health Care Dual Diagnosis practices in Fresno, CA. The NPI Number for State Health Care Dual Diagnosis is 1689884595 and holds a License No. 100056AP (California).

The current practice location address for State Health Care Dual Diagnosis is 1145 W Hedges Ave, Fresno, CA and can be reached out via phone at 310-628-9512 and via fax at 818-804-4047. You can also correspond with State Health Care Dual Diagnosis through the mailing address at 19300 RINALDI ST STE 8270, NORTHRIDGE, CA - 91326-1651 (mailing address contact number: 310-628-9512).

Location: 1145 W Hedges Ave, Fresno, CA, 91326-1651
institution
Provider Profile Details
NPI Number
1689884595
Provider Name
State Health Care Dual Diagnosis
Credential
Provider Entity Type
Organization
Address
1145 W Hedges Ave, Fresno, CA, 91326-1651
Phone Number
310-628-9512
Fax Number
818-804-4047
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1069 01 CA DMC PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1145 W Hedges Ave
City
State
Zip
93728-1219
Phone Number
310-628-9512
Fax Number
818-804-4047
person
Provider Business Mailing Address Details
Address
1145 W Hedges Ave
City
State
Zip
93728-1219
Phone Number
310-628-9512
Fax Number
818-804-4047
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
100056AP (California)
Definition
Definition to come...
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