Organization
NDLLJ INC
Active
Other names
harmony grove recovery
Organization subpart
No
Provider details
NPI number
Authorized official
HONORA JENKINS (CEO)
(760) 697-0497
Entity
Organization
Contact information
Practice address
1535 GRAND AVE, SAN MARCOS, CA 92078-2465
(760) 697-0497
Mailing address
1507 E VALLEY PKWY STE 3 #360, SAN MARCOS, CA 92078
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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