Organization
PHOENIX HOUSES OF LOS ANGELES, INC.
Active
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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