Organization
OAK GROVE INSTITUTE FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA WILSON MFT (CEO)
(951) 677-5599
Entity
Organization
Contact information
Practice address
24275 JEFFERSON AVE, MURRIETA, CA 92562-7285
(951) 677-5599
(951) 698-0461
Mailing address
24275 JEFFERSON AVE, MURRIETA, CA 92562-7285
(951) 677-5599
(951) 698-0461
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
330911240
CA
323P00000X
Psychiatric Residential Treatment Facility
Primary
330911240
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
330911240
CA
Other
Enumeration date
12/12/2008
Last updated
04/08/2026
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