Organization Name: | PHOENIX HOUSES OF CALIFORNIA, INC. |
NPI Number: | 1912052028 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WINIFRED B. WECHSLER (VICE PRESIDENT, REGIONAL DIRECTOR) |
Mailing Address: | 343 W Foothill Blvd Monrovia |
State: | CA US |
Postal Code: | 910162151 |
Phone Number: | 6263578612 |
Fax Number: | 6263576862 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 190232AN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |