| NPI | 1720299175 |
|---|---|
| Doing Business As | STATE HEALTH CARE DUAL DIAGNOSIS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | EDNA MILLER President 310-628-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 100056BP) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |