417 RECOVERY
NPI 1356915821
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in San Marcos, CA
- Organization
- Substance Abuse Rehabilitation Facility
- Substance Abuse Treatment, Children
About 417 RECOVERY
This page provides the complete NPI Profile along with additional information for 417 Recovery, a provider established in San Marcos, California operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1356915821 assigned on May 2021. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as 417 Recovery. The authorized official of this NPI record is Stevie Michelle Kuhn (Owner/cfo)
- NPI
- 1356915821 Verify this NPI
- Provider Legal Name
- 417 NORTH COUNTY LLC
- Other Organization Name
- 417 RECOVERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1595 GRAND AVE SAN MARCOS, CA 92078
- Location Phone
- (760) 485-6563
- Mailing Address
- 1595 GRAND AVE SAN MARCOS, CA 92078
- Mailing Phone
- (760) 485-6563
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2021
- Last Update Date
- 12-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children
- Taxonomy Code
- 3245S0500X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
SAN MARCOS, CA 92078
SAN MARCOS, CA 92078
SAN MARCOS, CA 92078
SAN MARCOS, CA 92078
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356915821, enumerated as an "organization" on May 18, 2021.
The provider is located at 1595 GRAND AVE SAN MARCOS, CA 92078 and the phone number is (760) 485-6563.
Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.