Organization
417 SOUTH RIVER LLC
Active
Organization
417 SOUTH RIVER LLC
Active
Other names
417 Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
STEVIE KUHN (OWNER/PARTNER)
(760) 485-6563
Entity
Organization
Contact information
Practice address
33050 ANTELOPE RD STE 201202, MURRIETA, CA 92563-2489
(760) 485-6563
Mailing address
33050 ANTELOPE RD STE 201, MURRIETA, CA 92563-2491
(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
09/06/2023
Last updated
05/21/2025
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