| NPI | 1649047242 |
|---|---|
| Doing Business As | 417 RECOVERY |
| Entity Type | Organization |
| Authorized Contact | STEVIE KUHN CFO 760-485-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-06 |