Organization
PHOENIX HOUSES OF LOS ANGELES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINIFRED B. WECHSLER (SR. VICE PRES., REGIONAL DIRECTOR)
(818) 686-3000
Entity
Organization
Contact information
Practice address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 941-8042
(562) 941-6592
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
(818) 896-4859
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190232BN
CA
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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