Organization
THE STEPHOUSE RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THE STEPHOUSE RECOVERY (CEO)
(888) 923-7623
Entity
Organization
Contact information
Practice address
1601 BAKER ST, COSTA MESA, CA 92626-3701
(888) 923-7623
Mailing address
10529 SLATER AVE, FOUNTAIN VALLEY, CA 92708-4841
(714) 873-3032
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/17/2019
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