417 North County LLC
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children in San Marcos, CA. Organization (NPI-2).
NPI number1356915821
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1356915821
- Entity type
- Organization (NPI-2)
- Legal business name
- 417 North County LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2021
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- 417 Recovery (Doing Business As)
Practice location
1595 Grand AveSan Marcos, CA 92078-2450
Phone 760-485-6563
Mailing address
1595 Grand AveSan Marcos, CA 92078-2450
Phone 760-485-6563
Authorized official
Stevie Michelle Kuhn
Owner/Cfo
7604856563
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children providers in San Marcos, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.