NPI: 1083923429
Provider Name: PHOENIX HOUSE ORANGE COUNTY, INC.
Other Name: CYS PHOENIX ACADEMY OF ORANGE COUNTY
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
Address:
1207 E FRUIT ST
SANTA ANA, CA
ZIP 92701
Phone: (714) 953-9373
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PHOENIX HOUSE ORANGE COUNTY, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Santa Ana, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PHOENIX HOUSE ORANGE COUNTY, INC. NPI is 1083923429. The provider is registered as an organization entity type.
The provider Other Name Is Cys Phoenix Academy Of Orange County.
The provider's business location address is:
1207 E FRUIT ST
SANTA ANA, CA
ZIP 92701-206
Phone: (714) 953-9373
The provider's authorized official is Pouria Abbassi .
The authorized official title is Senior Vp, Regional Director and has the following contact phone number (818) 686-3011.
The enumeration date for this NPI number is 10/4/2010 and was last updated on 7/12/2012.