Phoenix House Orange County, Inc. in Lake View Terrace - Addiction (substance Use Disorder)
Phoenix House Orange County, Inc. - NPI 1295812626
Phoenix House Orange County, Inc. is a Addiction (substance Use Disorder) in Lake View Terrace, California. Phoenix House Orange County, Inc. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Phoenix House Orange County, Inc. is 1295812626. The last update date is 2022-07-21.
Phoenix House Orange County, Inc.'s current location address is 11600 Eldridge Ave, Lake View Terrace, California. You can contact this provider via phone number 8186863000 and fax number 8188964859. The mailing address for Phoenix House Orange County, Inc. is 11600 Eldridge Ave, Lake View Terrace, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix House Orange County, Inc. |
|---|---|
| Address | 11600 Eldridge Ave, Lake View Terrace, California |
| Phone Number | 8186863000 |
| Fax Number | 8188964859 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR VIC |
|---|---|
| Authorized Official Name | Morris Renee Shawna |
| Telephone Number | 8186863011 |
NPI Number Detail
| NPI Number | 1295812626 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 11600 Eldridge Ave |
|---|---|
| City | Lake View Terrace |
| State | California (CA) |
| Post Code | 913426506 |
| Phone Number | 8186863000 |
| Fax Number | 8188964859 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 300605606 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300605606 | CA | STATE LICENSE NUMBER- ADP | |
| 1612 | CA | CALIFORNIA | |
| 8047 | CA | DRUG MEDI-CAL PROVIDER NUMB |
Post Comment/ Review Below
What is the unique identifier code issued to Phoenix House Orange County, Inc. by the Centers for Medicare & Medicaid Services?
The Phoenix House Orange County, Inc. has been assigned the NPI (National Provider Identifier) 1295812626. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phoenix House Orange County, Inc. is physically located?
The Phoenix House Orange County, Inc. is physically situated at the following address: 11600 Eldridge Ave, Lake View Terrace, CA, 913426506.
What is the area of specialization for Phoenix House Orange County, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phoenix House Orange County, Inc. is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295812626 to Phoenix House Orange County, Inc.?
The Phoenix House Orange County, Inc. received its 1295812626 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information pertaining to Phoenix House Orange County, Inc. most recently updated or revised?
The details related to Phoenix House Orange County, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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