MEDICARE: DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	261QM0850X	Adult Mental Health Clinic/Center
4	261QM0855X	Adolescent and Children Mental Health Clinic/Center
5	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
6	261QS1000X	Student Health Clinic/Center
7	261Q00000X	Clinic/Center	96000148	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CMM71096F	OTHER	CA	MEDI CAL DEPT OF HUMAN SV

General Provider Information

NPI Number	:	1659324408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 92619
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90809-2619
Country	:	US
Telephone Number	:	310-256-8809
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 N CENTRAL AVE
Second Line	:	B1
City	:	COMPTON
State	:	CA
Zip	:	90222-1640
Country	:	US
Telephone Number	:	888-417-5163
Fax Number	:	888-316-1604

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDNA ELIZABETH MILLER
Credential	:	D.D., PSY. ED
Telephone Number	:	310-256-8809

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	10/28/2015

Similar Medicare Providers

1700116209 — HELPING KIDS TO RECOVER, INC.
Practice Location Address:

2606 N CENTRAL AVE
COMPTON, CA
90222-1640

Practice Phone: 310-217-0616
Practice Fax: 310-217-0545

1265708689 — KLEAN START, INC
Practice Location Address:

2606 N CENTRAL AVE
COMPTON, CA
90222-1640

Practice Phone: 310-751-0821
Practice Fax:

1811234578 — COMPASSION CARE CENTER
Practice Location Address:

2606 N CENTRAL AVE
COMPTON, CA
90222-1640

Practice Phone: 310-230-5574
Practice Fax: 323-373-9786

1215371281 — AMERICAN HEALTH & EDUCATION CLINICS
Practice Location Address:

2606 N CENTRAL AVE
COMPTON, CA
90222-1640

Practice Phone: 310-537-2273
Practice Fax:

1194114959 — PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE
Practice Location Address:

2600 N CENTRAL AVE
COMPTON, CA
90222-1640

Practice Phone: 562-230-0960
Practice Fax:

1093108185 — HEALTH CARE INTEGRATED SCHOOL BASED SERVICES
Practice Location Address:

2600 N CENTRAL AVE
COMPTON, CA
90222-1640

Practice Phone: 888-417-5163
Practice Fax: 888-316-1604

Directions to “DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.