Provider Demographics
NPI:1043450596
Name:OCEAN HILLS RECOVERY INC.
Entity Type:Organization
Organization Name:OCEAN HILLS RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-388-0112
Mailing Address - Street 1:27124 PASEO ESPADA
Mailing Address - Street 2:SUITE 805
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-2741
Mailing Address - Country:US
Mailing Address - Phone:949-388-0112
Mailing Address - Fax:949-388-4625
Practice Address - Street 1:33242 CHRISTINA DR
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-1015
Practice Address - Country:US
Practice Address - Phone:949-388-0112
Practice Address - Fax:949-388-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300208AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility