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Phoenix House Foundation
Children's Substance Abuse Rehabilitation Facility in Lake View Terrace, California
NPI 1639506520

Phoenix House Foundation is a Children's Substance Abuse Rehabilitation Facility based in Lake View Terrace, CA and is specialized in Substance Abuse Treatment, Children. Phoenix House Foundation practices in Lake View Terrace, CA. The NPI Number for Phoenix House Foundation is 1639506520 and holds a License No. (California).

The current practice location address for Phoenix House Foundation is 11600 Eldridge Ave, Lake View Terrace, CA and can be reached out via phone at 818-686-3000 and via fax at 818-896-4232.

Location: 11600 Eldridge Ave, Lake View Terrace, CA, 91342-6506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639506520
Provider Name
Phoenix House Foundation
Credential
Provider Entity Type
Organization
Address
11600 Eldridge Ave, Lake View Terrace, CA, 91342-6506
Phone Number
818-686-3000
Fax Number
818-896-4232
Provider Enumeration Date
10/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11600 Eldridge Ave
City
Lake View Terrace
State
California
Zip
91342-6506
Phone Number
818-686-3000
Fax Number
818-896-4232
person
Provider Business Mailing Address Details
Address
11600 Eldridge Ave
City
Lake View Terrace
State
California
Zip
91342-6506
Phone Number
818-686-3000
Fax Number
818-896-4232
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
(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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Children's Substance Abuse Rehabilitation Facility
11600 Eldridge Ave,
LAKE VIEW TERRACE, CA
91342-6506
818-686-3000
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