Organization
HILLTOP WAY, LLC
Active
Other names
Ocean Ridge Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JACK JEWELINSKI (EXECUTIVE DIRECTOR)
(949) 545-7623
Entity
Organization
Contact information
Practice address
3813 VIA DEL CAMPO, SAN CLEMENTE, CA 92673-2636
(949) 545-7623
(949) 545-7624
Mailing address
3813 VIA DEL CAMPO, SAN CLEMENTE, CA 92673-2636
(949) 545-7623
(949) 545-7624
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300391BP
DEPARTMENT OF HEALTH CARE SERVICES
CA
01
—
300391CP
DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
03/14/2017
Last updated
07/12/2023
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