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Organization
PHOENIX HOUSE ORANGE COUNTY, INC
Active
Organization
PHOENIX HOUSE ORANGE COUNTY, INC
Active
Other names
CYS Phoenix Wraparound
Organization subpart
No
Provider details
NPI number
Authorized official
MR. POURIA ABBASSI (SEN. VICE PRESIDENT)
(818) 686-3000
Entity
Organization
Contact information
Practice address
1615 E. 17TH ST, SUITE #100, SANTA ANA, CA 92705
(714) 955-4042
(714) 541-7924
Mailing address
1615 E. 17TH ST, SUITE #100, SANTA ANA, CA 92705
(714) 955-4042
(714) 541-7924
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
03/20/2013
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