Active NPI
Dual Diagnosis Management, LLC Dba Palmsprings Serenity Retreat
- Substance Abuse Rehabilitation Facility
- Palm Springs, CA
National Provider Identifier
1013114776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 330014CP
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.