Organization · Type 2 NPI

Phoenix House Foundation

Children's Substance Abuse Rehabilitation Facility · Lake View Terrace, CA

NPI number 1639506520 Active

Practice location

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506

Fax (818) 896-4232

Specialties and licenses

Taxonomy	Code	License
Children's Substance Abuse Rehabilitation Facility Primary	3245S0500X	None listed

Children's 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 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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About NPI 1639506520

Phoenix House Foundation's National Provider Identifier is 1639506520, issued on Oct 9, 2013. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Lake View Terrace, CA. The record was last updated on Oct 9, 2013.