Organization
PHOENIX HOUSE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTHOPHER ANDERSON MA (DIRECTOR)
(818) 686-3105
Entity
Organization
Contact information
Practice address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
(818) 896-4232
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
(818) 896-4232
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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