STATE HEALTH CARE DUAL DIAGNOSIS
NPI 1689884595
Clinic/Center - Rehabilitation, Substance Use Disorder in Fresno, CA

Active since May 23, 2007
1145 W HEDGES AVE, FRESNO, CA 93728(310) 628-9512(818) 804-4047 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About State Health Care Dual Diagnosis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE HEALTH CARE DUAL DIAGNOSIS (NPI 1689884595) is a healthcare organization registered as a rehabilitation, substance use disorder in Fresno, California and active in the NPI registry since May 2007. The organization lists Edna Miller, President, as its authorized official.

NPPES Registry Identity

NPI1689884595
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSTATE HEALTH CARE DUAL DIAGNOSIS
Location Address1145 W HEDGES AVEFresno, CA 93728-1219
Mailing Address19300 Rinaldi St Ste 8270Northridge, CA 91326-1651 · (310) 628-9512 · Fax (818) 804-4047
Fax(818) 804-4047
Organization SubpartNo
Authorized OfficialEdna MillerPresident · (310) 628-9512
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1689884595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License Licensed in CA · 100056AP
1145 W HEDGES AVE, Fresno, CA 93728

Other Names 1

Doing Business AsState Health Care Dual Diagnosis

Other Identifiers 1

Other1069CA · Dmc Provider Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
1145 W HEDGES AVE
FRESNO, CA 93728
Clinic/Center (Rehabilitation, Substance Use Disorder)
1145 W HEDGES AVE, SUITE B
FRESNO, CA 93728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Health Care Dual Diagnosis's NPI number?

The NPI number for State Health Care Dual Diagnosis is 1689884595. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is State Health Care Dual Diagnosis located?

State Health Care Dual Diagnosis is located at 1145 W Hedges Ave, Fresno, CA 93728. The listed phone number is (310) 628-9512.

What is State Health Care Dual Diagnosis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for State Health Care Dual Diagnosis was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.