417 NORTH COUNTY LLC NPI 1356915821

NPI Information

417 NORTH COUNTY LLC is a substance abuse treatment and children substance abuse rehabilitation facility in San Marcos, CA. The provider is a facility or distinct part of a facility 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. 417 NORTH COUNTY LLC NPI is 1356915821. The provider is registered as an organization entity type.

The provider's business location address is:

1595 GRAND AVE
SAN MARCOS, CA
ZIP 92078-450
Phone: (760) 485-6563

The provider's authorized official is Stevie Michelle Kuhn .
The authorized official title is Owner/cfo and has the following contact phone number (760) 485-6563.

The enumeration date for this NPI number is 5/18/2021 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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