| NPI | 1972809341 |
|---|---|
| Other Name | CYS PHOENIX HOUSE WRAPAROUND |
| Entity Type | Organization |
| Authorized Contact | GEOFF HENDERSON Senior Director 714-953-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CA 261QM0855X) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |