Organization
STAGES OF RECOVERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MICHAEL MEDLEY BA (CEO)
(817) 600-8692
Entity
Organization
Contact information
Practice address
700 N ROBINSON DR, ROBINSON, TX 76706-5050
(806) 412-4721
(806) 412-4721
Mailing address
4413 71ST ST STE G101, LUBBOCK, TX 79424-2319
(806) 412-4721
(806) 412-4721
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3930-4436
DSHS STATE LICENSE
TX
Enumeration date
11/11/2016
Last updated
07/24/2024
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