Organization · Type 2 NPI

Phoenix House Orange County, Inc.

Substance Abuse Rehabilitation Facility · Santa Ana, CA

NPI number 1295812626 Active

Practice location

1207 E Fruit St
Santa Ana, CA 92701-4206

Call (714) 953-9373 Map

Fax (714) 953-7573

Mailing address

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	300605606 (CA)
Substance Abuse Rehabilitation Facility Primary	324500000X	300033AN (CA)
Substance Abuse Rehabilitation Facility	324500000X	300033CN (CA)
Children's Substance Abuse Rehabilitation Facility	3245S0500X	300605606 (CA)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1295812626

Phoenix House Orange County, Inc.'s National Provider Identifier is 1295812626, issued on Nov 1, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 21, 2022.