Provider Demographics
NPI:1811868219
Name:STELLA SOLIDARITY RECOVERY SERVICES INC.
Entity type:Organization
Organization Name:STELLA SOLIDARITY RECOVERY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:STELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-749-3368
Mailing Address - Street 1:125 CIRCUIT DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-2217
Mailing Address - Country:US
Mailing Address - Phone:916-749-3368
Mailing Address - Fax:
Practice Address - Street 1:733 INGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-2108
Practice Address - Country:US
Practice Address - Phone:916-749-3368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility