State Health Care Dual Diagnosis in Northridge - Rehabilitation, Substance Use Disorder
State Health Care Dual Diagnosis - NPI 1689884595
State Health Care Dual Diagnosis is a Rehabilitation, Substance Use Disorder in Northridge, California. State Health Care Dual Diagnosis practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for State Health Care Dual Diagnosis is 1689884595. The last update date is 2020-08-22.
State Health Care Dual Diagnosis's current location address is 19300 Rinaldi St Ste 8270, Northridge, California. You can contact this provider via phone number 3106289512 and fax number 8188044047. The mailing address for State Health Care Dual Diagnosis is 19300 Rinaldi St Ste 8270, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Health Care Dual Diagnosis |
|---|---|
| Address | 19300 Rinaldi St Ste 8270, Northridge, California |
| Phone Number | 3106289512 |
| Fax Number | 8188044047 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Miller Edna |
| Telephone Number | 3106289512 |
NPI Number Detail
| NPI Number | 1689884595 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 19300 Rinaldi St Ste 8270 |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913261651 |
| Phone Number | 3106289512 |
| Fax Number | 8188044047 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 100056AP |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1069 | CA | DMC PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to State Health Care Dual Diagnosis by the Centers for Medicare & Medicaid Services?
The State Health Care Dual Diagnosis has been assigned the NPI (National Provider Identifier) 1689884595 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where State Health Care Dual Diagnosis is geographically located?
The State Health Care Dual Diagnosis is physically situated at the following location: 19300 Rinaldi St Ste 8270, Northridge, CA, 913261651.
What is the State Health Care Dual Diagnosis's specialty and taxonomy code?
The State Health Care Dual Diagnosis's specialty is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689884595 to State Health Care Dual Diagnosis?
The Centers for Medicare & Medicaid Services originally issued the 1689884595 to State Health Care Dual Diagnosis on 2007-05-23.
When was the information regarding State Health Care Dual Diagnosis most recently updated?
The details pertaining to the State Health Care Dual Diagnosis, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.