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Organization
PHOENIX HOUSE ORANGE COUNTY, INC
Active
Organization
PHOENIX HOUSE ORANGE COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJA TROCHIMCZYK PH.D. (SENIOR DIRECTOR OF PLANNING & DEVEL)
(818) 686-3112
Entity
Organization
Contact information
Practice address
265 S ANITA DR, ORANGE, CA 92868-3355
(657) 933-4101
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 384-8944
(818) 896-4859
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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