Organization · Type 2 NPI

Dual Diagnosis Treatment Center, Inc.

Substance Abuse Rehabilitation Facility · Cathedral City, CA

NPI number 1407095912 Active

Practice location

69508 Borrego Rd
Cathedral City, CA 92234-4923

Call (949) 359-8273 Map

Fax (949) 943-1541

Mailing address

PO Box 5705
San Clemente, CA 92674-5705

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	300217AN (CA)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other substance abuse rehabilitation facility providers in Cathedral City

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NPI record

NPI: 1407095912
Entity type: Organization (Type 2)
Issued: Feb 9, 2009
Last updated: Oct 19, 2020
Status: Active

Other names

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Sovereign Health of California · doing business as
Sovereign Health of California · doing business as

Authorized official

Ron Girskis
Business Operations Specialist
(949) 359-8273

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407095912

Dual Diagnosis Treatment Center, Inc.'s National Provider Identifier is 1407095912, issued on Feb 9, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Cathedral City, CA. The record was last updated on Oct 19, 2020.