Organization
STEPHOUSE RECOVERY
Active
Other names
Mirror Beach Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE VILAGUT (CEO)
(714) 394-3494
Entity
Organization
Contact information
Practice address
18627 BROOKHURST ST # 401, FOUNTAIN VALLEY, CA 92708-6748
(714) 933-6652
Mailing address
18627 BROOKHURST ST # 401, FOUNTAIN VALLEY, CA 92708-6748
(714) 933-6652
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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