Organization
STAGES OF RECOVERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MEDLEY B.S. (CEO)
(817) 600-8692
Entity
Organization
Contact information
Practice address
4413 71ST ST STE G101, LUBBOCK, TX 79424-2319
(817) 600-8692
Mailing address
4413 71ST ST STE G101, LUBBOCK, TX 79424-2319
(817) 600-8692
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
07/23/2021
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