DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER
Ambulatory Health at Wilshire Blvd, Los Angeles, CA

License number
California 96000148
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MS. EDNA ELIZABETH MILLER
Title: PRESIDENT
Phone: (310) 628-9512
Address
Address 2
3545 Wilshire Blvd, Los Angeles, CA 90010
19300 Rinaldi St SUITE 8270, Northridge, CA 91326
National Provider ID: 1457398539
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC

Long Beach, CA  -  Northridge, CA

Industry:
Specialty Outpatient Clinic
Registration:
Feb 24, 1999
Addresses:
PO Box 92619, Long Beach, CA 90809 (Physical)
19300 Rinaldi St, Northridge, CA 91326
PO Box 8270, Northridge, CA 91327
State ID:
C1937771
Business type:
Articles of Incorporation
President:
Edna Miller (President)
Agent:
Dwayne Thompson,Long Beach, CA 90809 (Physical)

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