Provider Demographics
NPI:1073001681
Name:OCEAN RECOVERY CENTERS, INC
Entity type:Organization
Organization Name:OCEAN RECOVERY CENTERS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANA PAULA
Authorized Official - Middle Name:GOMES
Authorized Official - Last Name:MAURO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:714-585-2977
Mailing Address - Street 1:8851 CONNER DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5078
Mailing Address - Country:US
Mailing Address - Phone:714-585-2977
Mailing Address - Fax:
Practice Address - Street 1:8851 CONNER DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-5078
Practice Address - Country:US
Practice Address - Phone:714-585-2977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-29
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15033106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty