# PHOENIX HOUSE ORANGE COUNTY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962139212
- **Authorized official:** MAJA TROCHIMCZYK PH.D. (SENIOR DIRECTOR OF PLANNING & DEVEL)
- **Authorized official phone:** (818) 686-3112

## Contact information

- **Practice address:** 265 S ANITA DR, ORANGE, CA 92868-3355
- **Practice address phone:** (657) 933-4101
- **Mailing address:** 11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
- **Mailing address phone:** (818) 384-8944
- **Mailing address fax:** (818) 896-4859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2022
- **Last updated:** 08/05/2022