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417 ORANGE COUNTY LLC NPI 1649047242


NPI Information

NPI: 1649047242
Provider Name: 417 ORANGE COUNTY LLC

Doing Business As: 417 RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
26010 ACERO STE 200
MISSION VIEJO, CA
ZIP 92691
Phone: (760) 485-6563
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417 ORANGE COUNTY LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Mission Viejo, CA. The provider is 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. 417 ORANGE COUNTY LLC NPI is 1649047242. The provider is registered as an organization entity type.
The provider Is Doing Business As 417 Recovery.

The provider's business location address is:

26010 ACERO STE 200
MISSION VIEJO, CA
ZIP 92691-768
Phone: (760) 485-6563

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

The enumeration date for this NPI number is 12/5/2023 and was last updated on 12/6/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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