Organization
THE STEPHOUSE RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JAMES VILAGUT (CEO)
(714) 394-3494
Entity
Organization
Contact information
Practice address
10529 SLATER AVE, FOUNTAN VALLEY, CA 92708
(714) 394-3494
(714) 969-2889
Mailing address
10529 SLATER AVE, FOUNTAIN VALLEY, CA 92708-4841
(714) 394-3494
(714) 969-2889
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
300251AP
CA
Other
Enumeration date
10/09/2012
Last updated
07/21/2022
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