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Phoenix Houses Of Los Angeles
Children's Substance Abuse Rehabilitation Facility in Lake View Terrace, California
NPI 1700226685

Phoenix Houses Of Los Angeles is a Children's Substance Abuse Rehabilitation Facility based in Lake View Terrace, CA and is specialized in Substance Abuse Treatment, Children. Phoenix Houses Of Los Angeles practices in Lake View Terrace, CA. The NPI Number for Phoenix Houses Of Los Angeles is 1700226685 and holds a License No. 190115DN (California).

The current practice location address for Phoenix Houses Of Los Angeles is 11465 Kagel Canyon St, Lake View Terrace, CA and can be reached out via phone at 818-686-3000.

Location: 11465 Kagel Canyon St, Lake View Terrace, CA, 91342-6506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700226685
Provider Name
Phoenix Houses Of Los Angeles
Credential
Provider Entity Type
Organization
Address
11465 Kagel Canyon St, Lake View Terrace, CA, 91342-6506
Phone Number
818-686-3000
Fax Number
Provider Enumeration Date
06/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1945 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
11465 Kagel Canyon St
City
Lake View Terrace
State
California
Zip
91342-6505
Phone Number
818-686-3000
Fax Number
person
Provider Business Mailing Address Details
Address
11465 Kagel Canyon St
City
Lake View Terrace
State
California
Zip
91342-6505
Phone Number
818-686-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
190115DN (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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91342-6506
818-686-3000
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