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 |