Organization
FORTIVA LLC
Active
Other names
Recovery Beach
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GOUSHIAN (ADMINISTRATOR)
(856) 803-6612
Entity
Organization
Contact information
Practice address
13212 CHAPMAN AVE, GARDEN GROVE, CA 92840-4414
(714) 703-9492
Mailing address
13212 CHAPMAN AVE, GARDEN GROVE, CA 92840-4414
(714) 703-9492
(424) 842-7075
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
12/09/2025
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