Organization
PHOENIX HOUSE ORANGE COUNTY, INC.
Active
Other names
Phoenix House Victorville
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
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 487-3600
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3112
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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