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Organization
417 SOUTH RIVER LLC
Active
Organization
417 SOUTH RIVER LLC
Active
Parent organization
417 SOUTH RIVER LLC
Other names
417 Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
417 SOUTH RIVER LLC
Authorized official
STEVIE KUHN (OWNER)
(760) 485-6563
Entity
Organization
Contact information
Practice address
45902 OASIS ST STE B, INDIO, CA 92201-4580
(844) 417-3417
(442) 282-1100
Mailing address
74075 EL PASEO STE A5, PALM DESERT, CA 92260-4118
(844) 417-3417
(442) 282-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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