NPI | 1356915821 |
---|---|
Doing Business As | 417 RECOVERY |
Entity Type | Organization |
Authorized Contact | STEVIE MICHELLE KUHN Owner/CFO 760-485-6563 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2021-05-18 |
Last Update Date | 2023-12-06 |