Organization
STONE RIVER GROUP
Active
Other names
StoneRiver Group
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY STONE LMFT (PROGRAM DIRECTOR)
(949) 542-8810
Entity
Organization
Contact information
Practice address
140 AVENIDA ALGODON, UNIT A, SAN CLEMENTE, CA 92672-4182
(949) 542-8810
Mailing address
140 AVENIDA ALGODON, UNIT A, SAN CLEMENTE, CA 92672-4182
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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