STATE HEALTH CARE DUAL DIAGNOSIS PROGRAM
Ambulatory Health at Hedges Ave, Fresno, CA

License number
California 100056BP
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: MRS. EDNA MILLER
Title: PRESIDENT
Phone: (310) 628-9512
Address
Address 2
1145 W Hedges Ave SUITE B, Fresno, CA 93728
19300 Rinaldi St SUITE 8270, Northridge, CA 91326
National Provider ID: 1720299175
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about STATE HEALTH CARE DUAL DIAGNOSIS PROGRAM at bizstanding.com

STATE HEALTH CARE DUAL DIAGNOSIS PROGRAM

19300 Rinaldi St SUITE 8270, Northridge, CA 91327

Status:
Inactive
Registration:
May 30, 2003
State ID:
C2532412
Business type:
Articles of Incorporation
President:
Edna Miller President, inactive
Agent:
Dwayne Thompson,Northridge, CA 91327 (Physical)

Ambulatory Health licenses in California










Other Doctors licenses in California