Organization
OCEANROCK, LLC
Active
Parent organization
OCEANROCK, LLC
Other names
OceanRock Recovery LLC, OceanRock Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCEANROCK, LLC
Authorized official
TAHAMTAN NEMATBAKHSH JD (CEO)
(949) 375-5541
Entity
Organization
Contact information
Practice address
2655 VILLA CREEK DR STE 111, FARMERS BRANCH, TX 75234-7396
(214) 347-9995
Mailing address
1100 QUAIL ST STE 205, NEWPORT BEACH, CA 92660-2700
(949) 979-6866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933-4934
TEXAS HEALTH AND HUMAN SERVICES
TX
Enumeration date
11/08/2023
Last updated
11/08/2023
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