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PHOENIX HOUSE: OUTPATIENT SERVICES

Venice, CA

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Facility contact

Main phone
(310) 392-3070 Source
Directory address
517 OCEAN FRONT WALK, SUITE 8 Source
ZIP code
90291 Source
Map precision
California DHCS ArcGIS regulator geometry Source

California state authorization

State authority
California Department of Health Care Services Source
DHCS application number
190115CN Source
DHCS authorization type
Certified Source
Listed expiration date
2027-12-31 Source
DHCS program code
NON Source
Legal entity
PHOENIX HOUSES OF LOS ANGELES, INC. Source
County
Los Angeles County Source
DHCS target population
1.2 --- MEN ONLY Source
Incidental medical services
No Source
Adolescent waiver
No Source

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