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: July 19, 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
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

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.

Counselor (Mental Health)
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Mental Health)
1207 E FRUIT ST
SANTA ANA, CA 92701
Marriage & Family Therapist
1207 E FRUIT ST
SANTA ANA, CA 92701
Marriage & Family Therapist
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor
1207 E FRUIT ST
SANTA ANA, CA 92701
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor
1207 E FRUIT ST
SANTA ANA, CA 92701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083923429, enumerated as an "organization" on October 04, 2010.

The provider is located at 1207 E FRUIT ST SANTA ANA, CA 92701 and the phone number is (714) 953-9373.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.