Organization
417 NORTH COUNTY LLC
Active
Other names
417 RECOVERY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVIE MICHELLE KUHN (OWNER/CFO)
(760) 485-6563
Entity
Organization
Contact information
Practice address
1595 GRAND AVE, SAN MARCOS, CA 92078-2450
(760) 485-6563
Mailing address
1595 GRAND AVE, SAN MARCOS, CA 92078-2450
(760) 485-6563
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
12/06/2023
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