Organization
PHP RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON STASSART (CHIEF OPERATIONS OFFICER)
(213) 265-4560
Entity
Organization
Contact information
Practice address
30851 AGOURA RD STE 114, AGOURA HILLS, CA 91301-4343
(310) 701-1000
Mailing address
5820 SAINT LAURENT DR, AGOURA HILLS, CA 91301-4631
(310) 701-1000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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