Organization
PHOENIX HOUSE ORANGE COUNTY, INC
Active
Other names
CYS Phoenix House Wraparound
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFF HENDERSON (SENIOR DIRECTOR)
(714) 953-9373
Entity
Organization
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
261QM0855X
CA
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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