institution
Phoenix House Orange County, Inc.
Children's Substance Abuse Rehabilitation Facility in Santa Ana, California
NPI 1083923429

Phoenix House Orange County, Inc. is a Children's Substance Abuse Rehabilitation Facility based in Santa Ana, CA and is specialized in Substance Abuse Treatment, Children. Phoenix House Orange County, Inc. practices in Santa Ana, CA. The NPI Number for Phoenix House Orange County, Inc. is 1083923429 and holds a License No. 300605606 (California).

The current practice location address for Phoenix House Orange County, Inc. is 1207 E Fruit St, Santa Ana, CA and can be reached out via phone at 714-953-9373. You can also correspond with Phoenix House Orange County, Inc. through the mailing address at 1207 E FRUIT ST, SANTA ANA, CA - 92701-4206 (mailing address contact number: 714-953-9373).

Location: 1207 E Fruit St, Santa Ana, CA, 92701-4206
institution
Provider Profile Details
NPI Number
1083923429
Provider Name
Phoenix House Orange County, Inc.
Credential
Provider Entity Type
Organization
Address
1207 E Fruit St, Santa Ana, CA, 92701-4206
Phone Number
714-953-9373
Fax Number
Provider Enumeration Date
10/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300605606 01 CA CA DEPT OF ALCOHOL AND DRUG PROGRAM
1612 01 CA LEGAL ENTITY NUMBER
institution
Provider Business Practice Location Address Details
Address
1207 E Fruit St
City
State
Zip
92701-4206
Phone Number
714-953-9373
Fax Number
person
Provider Business Mailing Address Details
Address
1207 E Fruit St
City
State
Zip
92701-4206
Phone Number
714-953-9373
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
300605606 (California)
Definition
A facility or distinct part of a facility 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.
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