CACTUS GARDENS OPPORTUNITY HOUSE, INC (NPI# 1871930966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871930966 |
| Entity Type | Organization |
| Organization Name | CACTUS GARDENS OPPORTUNITY HOUSE, INC |
| Other Organization Name | WJW TREATMENT CENTERS |
| Practice Address |
13212 Chapman Ave Garden Grove CA 92840-4414 |
| Mailing Address |
19311 Sausalito Ln Huntington Beach CA 92646-2648 |
| Practice Telephone | 7147039492 |
| Practice Fax Number | 7147402030 |
| Mailing Telephone | 7147039492 |
| Mailing Fax Number | 7149685867 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | STANLEY C WOOLBRIGHT (EXECTUIVE DIRECTOR) |
| Authorized Official Telephone | 7147039492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300292AN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| WJW Treatment Centers | Doing Business As Name - Organization |
| Street Address |
13212 CHAPMAN AVE |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255971115 | Rehab Healing Centers | Substance Abuse Rehabilitation Facility | 12081 Morgan Ln, Garden Grove, CA 92840-3708 | 2020-01-08 |
| 1629132329 | Orange County Halfway House, Inc. | Substance Abuse Rehabilitation Facility | 12702 Josephine St, Garden Grove, CA 92841-4668 | 2006-12-20 |
| 1124115456 | Oscar Iglesias | Substance Abuse Rehabilitation Facility | 9842 13th St Ste B, Garden Grove, CA 92844-3171 | 2006-10-06 |
| 1932732450 | Elaine Grear | Substance Abuse Rehabilitation Facility | 12081 Morgan Ln, Garden Grove, CA 92840-3708 | 2020-02-13 |
| 1356890073 | Morningside Recovery, LLC | Substance Abuse Rehabilitation Facility | 9842 13th St, Garden Grove, CA 92844-3171 | 2016-09-22 |
| 1093174302 | Joshua House, LLC | Substance Abuse Rehabilitation Facility | 9842 13th St, Garden Grove, CA 92844-3171 | 2016-02-15 |
| 1356762264 | Unidos Recovery Home | Substance Abuse Rehabilitation Facility | 9842 13th St Ste B, Garden Grove, CA 92844-3171 | 2013-12-18 |
| 1720327273 | California Hispanic Commission | Substance Abuse Rehabilitation Facility | 9842 13th St, Suite B, Garden Grove, CA 92844-3171 | 2013-02-04 |
| 1578871604 | Unidos Recovery Home | Substance Abuse Rehabilitation Facility | 9842 13th St, B, Garden Grove, CA 92844-3171 | 2010-09-23 |
| 1275841835 | California Hispanic Commision | Substance Abuse Rehabilitation Facility | 9842 13th St Ste B, Garden Grove, CA 92844-3171 | 2010-09-16 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on CACTUS GARDENS OPPORTUNITY HOUSE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.