Organization
PHOENIX HOUSE ORANGE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJA TROCHIMCZYK PH.D. (SENIOR DIRECTOR OF PLANNING)
(818) 686-3112
Entity
Organization
Contact information
Practice address
1901 E 4TH ST STE 350, SANTA ANA, CA 92705-3908
(714) 486-0940
(714) 546-5496
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3112
(818) 897-1293
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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