| NPI | 1104264381 |
|---|---|
| Other Name | PHOENIX HOUSE |
| Entity Type | Organization |
| Authorized Contact | AVA POLAN Executive Director 805-965-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2018-05-24 |