Provider Demographics
NPI:1730706979
Name:OAK FOREST RECOVERY CENTER, INC
Entity type:Organization
Organization Name:OAK FOREST RECOVERY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ELIZARRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-390-6647
Mailing Address - Street 1:5655 LINDERO CANYON RD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-4046
Mailing Address - Country:US
Mailing Address - Phone:805-390-6647
Mailing Address - Fax:888-827-2346
Practice Address - Street 1:5655 LINDERO CANYON RD
Practice Address - Street 2:SUITE 425
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-4046
Practice Address - Country:US
Practice Address - Phone:805-390-6647
Practice Address - Fax:888-827-2346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty