STATE HEALTH CARE DUAL DIAGNOSIS PROGRAM

NPI # 

Practice Address:

1145 W Hedges Ave , Suite B

Fresno, CA, 93728-1219

Practice Phone:

310-628-9512

Practice Fax:

818-804-4047

License Number:

100056BP

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Rehabilitation, Substance Use Disorder

Taxonomy Code:

261QR0405X