| Phoenix House Orange County, Inc | |
|
265 S Anita Dr Orange CA 92868-3355 | |
| (657) 933-4101 | |
| Not Available |
| Full Name | Phoenix House Orange County, Inc |
|---|---|
| Speciality | Clinic/center - Recovery Care |
| Location | 265 S Anita Dr, Orange, California |
| Authorized Official Name and Position | Maja Trochimczyk (SENIOR DIRECTOR OF PLANNING & DEVEL) |
| Authorized Official Contact | 8186863112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix House Orange County, Inc 11600 Eldridge Ave Lake View Terrace CA 91342-6506 Ph: (818) 384-8944 | Phoenix House Orange County, Inc 265 S Anita Dr Orange CA 92868-3355 Ph: (657) 933-4101 |
| NPI Number | 1962139212 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962139212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Primary |
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