Phoenix House Orange County, Inc.

LBN: Phoenix House Orange County, Inc.
Phoenix House Orange County, Inc. is an health care organization with primary practice located at 1207 E Fruit St , Santa Ana CA 92701-4206. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Phoenix House Orange County, Inc. can be contacted via phone (714) 953-9373, or through Morris, Shawna Renee via phone (818) 686-3011.

Contact Information

Primary practice address
1207 E Fruit St Santa Ana CA 92701-4206
Phone: (714) 953-9373
Fax: (714) 953-7573
Website:
Map and Directions
Authorized official contact:
Name: Morris, Shawna Renee
Phone: (818) 686-3011

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300605606 California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300033AN California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300033CN California
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 300605606 California

Profile Details

NPI number 1295812626
LBN Legal business name Phoenix House Orange County, Inc.
DBA Doing business as
Authorized official Morris, Shawna Renee
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 21st, 2022 - about 3 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 1295812626 NPPES
California Other 300605606 STATE LICENSE NUMBER- ADP
California Other 1612 STATE LICENSE NUMBER- ADP
California Other 8047 STATE LICENSE NUMBER- ADP

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