Cys Phoenix Academy Of Orange County

LBN: Phoenix House Orange County, Inc.
Cys Phoenix Academy Of Orange County is an health care organization with primary practice located at 1207 E Fruit St , Santa Ana CA 92701-4206. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as the primary health care specialty. Phoenix House Orange County, Inc. can be contacted via phone (714) 953-9373, or through Abbassi, Pouria via phone (818) 686-3011.

Contact Information

Primary practice address
1207 E Fruit St Santa Ana CA 92701-4206
Phone: (714) 953-9373
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abbassi, Pouria P.E.
Phone: (818) 686-3011

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 300605606 California

Profile Details

NPI number 1083923429
LBN Legal business name Phoenix House Orange County, Inc.
DBA Doing business as Cys Phoenix Academy Of Orange County
Authorized official Abbassi, Pouria P.E.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2010
Last updated Jul 12th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083923429 NPPES
California Other 300605606 CA DEPT OF ALCOHOL AND DRUG PROGRAM
California Other 1612 CA DEPT OF ALCOHOL AND DRUG PROGRAM

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