NPIMap

Organization Active NPI

Cactus Gardens Opportunity House, Inc

Doing business as Recovery Beach

  • Substance Abuse Rehabilitation Facility
  • Garden Grove, CA
National Provider Identifier
1871930966
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300292AN Issued in CA
Legal business name
CACTUS GARDENS OPPORTUNITY HOUSE, INC
Doing business as
Recovery Beach
WJW Treatment Centers
Practice address
13212 Chapman Ave
Garden Grove, CA 92840-4414
Phone
(714) 703-9492
Fax
(714) 740-2030
NPI assigned
May 29, 2013
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stanley Claude Woolbright
Title
Executive Director
Phone
(714) 369-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300292AN CA Primary

Addresses

Primary practice location

13212 Chapman Ave
Garden Grove, CA 92840-4414

Mailing address

19311 Sausalito LN
Huntington Beach, CA 92646-2648
Phone (714) 369-3381

Other practice location 1

13222 Chapman Ave
Garden Grove, CA 92840-4414
Phone (714) 703-9492

Other names 2

  • Recovery Beach Doing business as
  • WJW Treatment Centers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1871930966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19311 SAUSALITO LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462648",
            "telephone_number": "714-369-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13212 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404414",
            "telephone_number": "714-703-9492",
            "fax_number": "714-740-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13222 Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928404414",
            "country_code": "US",
            "telephone_number": "714-703-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CACTUS GARDENS OPPORTUNITY HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "WOOLBRIGHT",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-369-3381"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300292AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WJW Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.