Organization Active NPI

Dual Diagnosis Management, LLC Dba Palmsprings Serenity Retreat

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
National Provider Identifier
1013114776
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
330014CP Issued in CA
Legal business name
DUAL DIAGNOSIS MANAGEMENT, LLC DBA PALMSPRINGS SERENITY RETREAT
Practice address
2095 N Indian Canyon Dr
Palm Springs, CA 92262-3019
Phone
(954) 587-7771
Fax
(954) 587-8622
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Cartwright
Title
Ceo
Phone
(615) 345-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 330014CP CA Primary

Addresses

Primary practice location

2095 N Indian Canyon Dr
Palm Springs, CA 92262-3019

Mailing address

210 Westwood PL
Suite 120
Brentwood, TN 37027-7554
Phone (954) 587-7771

National Provider Directory

National Provider Directory

Locations

2095 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (615) 345-3200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1013114776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTWOOD PL",
            "address_2": "SUITE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277554",
            "telephone_number": "954-587-7771",
            "fax_number": "954-587-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623019",
            "telephone_number": "954-587-7771",
            "fax_number": "954-587-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAL DIAGNOSIS MANAGEMENT, LLC DBA PALMSPRINGS SERENITY RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "CARTWRIGHT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-345-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330014CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.