Provider Demographics
NPI:1609656404
Name:OJAI RECOVERY LLC
Entity Type:Organization
Organization Name:OJAI RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:H
Authorized Official - Last Name:LANDVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-780-1667
Mailing Address - Street 1:15021 VENTURA BLVD STE 797
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2442
Mailing Address - Country:US
Mailing Address - Phone:310-780-1667
Mailing Address - Fax:
Practice Address - Street 1:158 ROCKAWAY RD
Practice Address - Street 2:
Practice Address - City:OAK VIEW
Practice Address - State:CA
Practice Address - Zip Code:93022-9306
Practice Address - Country:US
Practice Address - Phone:310-780-1667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty