State Health Care Dual Diagnosis Program
NPI 1720299175 · Substance Use Disorder Rehabilitation Clinic/Center · Fresno, CA
State Health Care Dual Diagnosis Program is a Substance Use Disorder Rehabilitation Clinic/Center organization in Fresno, CA (NPI 1720299175).
Provider details
- NPI number
- 1720299175
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edna Miller, President(310) 628-9512
- License
- 100056BP (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- State Health Care Dual Diagnosis Program
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is State Health Care Dual Diagnosis Program's NPI number?
- State Health Care Dual Diagnosis Program's National Provider Identifier (NPI) is 1720299175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Health Care Dual Diagnosis Program?
- State Health Care Dual Diagnosis Program is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is State Health Care Dual Diagnosis Program located?
- State Health Care Dual Diagnosis Program's practice location on file with NPPES is 1145 W Hedges Ave, Fresno, CA 93728-1219.
- What is State Health Care Dual Diagnosis Program's phone number?
- The practice phone number listed in the NPPES registry for State Health Care Dual Diagnosis Program is (310) 628-9512.
- Who is the authorized official for State Health Care Dual Diagnosis Program?
- The authorized official listed on State Health Care Dual Diagnosis Program's NPPES record is Edna Miller, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Health Care Dual Diagnosis Program's NPI active?
- Yes — State Health Care Dual Diagnosis Program's NPI (1720299175) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.