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Organization

PHOENIX HOUSES OF LOS ANGELES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHAWNA MORRIS (CHIEF EXECUTIVE OFFICER)
(818) 686-3000
Entity
Organization

Contact information

Practice address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
(818) 896-4859
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
(818) 897-1293

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
191222731
CA

Other

Enumeration date
01/22/2007
Last updated
07/05/2016
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