Organization
PHOENIX HOUSE ORANGE COUNTY, INC
Active
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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