DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. (NPI# 1437440542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437440542 |
| Entity Type | Organization |
| Organization Name | DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. |
| Other Organization Name | HEALTH CARE ENRICHMENT, INC. |
| Practice Address |
1984 Obispo Ave Ste. 1a Signal Hill CA 90755-1234 |
| Mailing Address |
Po Box 92619 Long Beach CA 90809-2619 |
| Practice Telephone | 3106289512 |
| Mailing Telephone | 3106289512 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | DR. EDNA MILLER (PRESIDENT) |
| Authorized Official Telephone | 3106289512 |
| Authorized Official Credential | D.D., PSY. ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM71069F | 05 |
| Other Name | Type Code |
|---|---|
| Health Care Enrichment, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831419886 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 151 North Grevillea Avenue, Inglewood, CA 90301 | 2010-06-01 |
| 1396064671 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 9330 S 8th Ave, Inglewood, CA 90305-2914 | 2010-05-25 |
| 1528366861 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 16550 Ventura Blvd, Encino, CA 91436-2004 | 2011-03-10 |
| 1124347406 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 2265 E 103rd St, Los Angeles, CA 90002-3132 | 2010-05-25 |
| 1841519121 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 10500 Yukon Ave, Inglewood, CA 90303-2003 | 2010-05-25 |
| 1679892947 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 5354 W 64th St, Inglewood, CA 90302-1042 | 2010-05-25 |
| 1356660633 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 601 S Acacia Ave, Compton, CA 90220-3702 | 2010-05-25 |
| Street Address |
1984 OBISPO AVE STE. 1A |
| City | SIGNAL HILL |
| State | CA |
| Zip Code | 90755-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841527371 | Edna Miller | Counselor | 1984 Obispo Ave, Suite 1a, Signal Hill, CA 90755-1234 | 2009-11-04 |
| 1013208917 | Lisa Nicholson | Counselor | 1984 Obispo Ave, Ste 1a, Signal Hill, CA 90755-1234 | 2011-04-26 |
| 1831480037 | Charles Marshall | Counselor | 1984 Obispo Ave, Ste 1a, Signal Hill, CA 90755-1234 | 2011-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790267136 | Esther Guerrero De Shepphard | Occupational Therapy Assistant | 2726 E Wall Street, Signal Hill, CA 90755 | 2018-09-01 |
| 1285150565 | Tricia Amantia | Counselor | 2248 Obisbo Ave, Suite 202, Signal Hill, CA 90755 | 2017-08-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1558642637 | Warren Kim | Social Worker | 845 East Willow Street, Signal Hill, CA 90755 | 2011-09-02 |
| 1730228354 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 1600 E. Hill St, Signal Hill, CA 90755 | 2007-02-06 |
| 1518039726 | Ayman Aljabban Dental Corporation | Dentist | 1830 E Willow St, Signal Hill, CA 90755 | 2006-11-14 |
| 1164532768 | Costco Wholesale Corporation | Pharmacy | 2200 E Willow St, Signal Hill, CA 90755 | 2006-08-30 |
| 1578510624 | Long Beach Memorial Medical Center | Home Health | 695 E 27th St, Long Beach, CA 90755 | 2006-05-27 |
| 1073569554 | Prosthetic & Orthotic Group, Inc | Prosthetic/Orthotic Supplier | 2669 Myrtle Ave, Ste 101, Signal Hill, CA 90755 | 2006-05-26 |
| 1619416898 | Carrie Hoopfer | Pharmacist | 845 East Willow Street, Signal Hill, CA 90755 | 2017-02-21 |
| Find all providers in zip 90755 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| Find all providers with the same taxonomy | ||||
| City | SIGNAL HILL |
| Zip Code | 90755 |
Please comment or provide details below to improve the information on DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.