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CYS PHOENIX ACADEMY OF ORANGE COUNTY
NPI 1083923429
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Santa Ana, CA

Active since October 04, 2010
1207 E FRUIT ST, SANTA ANA, CA 92701(714) 953-9373 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cys Phoenix Academy Of Orange County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYS PHOENIX ACADEMY OF ORANGE COUNTY (NPI 1083923429) is a healthcare organization registered as a substance abuse treatment, children in Santa Ana, California and active in the NPI registry since October 2010. The organization lists Pouria Abbassi, Senior Vp, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1083923429
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NamePHOENIX HOUSE ORANGE COUNTY, INC.
Location Address1207 E FRUIT STSanta Ana, CA 92701-4206
Mailing Address1207 E Fruit StSanta Ana, CA 92701-4206 · (714) 953-9373
Phone(714) 953-9373
Organization SubpartNo
Authorized OfficialPouria AbbassiSenior Vp, Regional Director · (818) 686-3011
Enumeration DateOctober 4, 2010
Last NPPES UpdateJuly 12, 2012
✔ NPI 1083923429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in CA · 300605606
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
1207 E FRUIT ST, Santa Ana, CA 92701
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Other Names 1

Other NameCys Phoenix Academy Of Orange County

Other Identifiers 2

Other1612CA · Legal Entity Number
Other300605606CA · Ca Dept Of Alcohol And Drug Program

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARITA MOREIRA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
GARY DAIJI HAZAMA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
MADISON PARR
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (949) 396-4566
NOAH WANGAI
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
ANH QUE HUYNH
Licensed Vocational Nurse
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
CRYSTAL SCHONVIESNER
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
SIERA NOELLE GOODRICH
Student in an Organized Health Care Education/Training Program
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
AIDE MERITO-PINA,
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix House Orange County, Inc.'s NPI number?

The NPI number for Phoenix House Orange County, Inc. is 1083923429. It was assigned to this organization in the NPPES registry on October 4, 2010. The provider is also known as Cys Phoenix Academy Of Orange County.

Where is Phoenix House Orange County, Inc. located?

Phoenix House Orange County, Inc. is located at 1207 E Fruit St, Santa Ana, CA 92701. The listed phone number is (714) 953-9373.

What is Phoenix House Orange County, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Phoenix House Orange County, Inc. was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.