| 417 Recovery | |
|
26010 Acero Ste 200 Mission Viejo CA 92691-2768 | |
| (760) 485-6563 | |
| Not Available |
| Full Name | 417 Recovery |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
| Location | 26010 Acero Ste 200, Mission Viejo, California |
| Authorized Official Name and Position | Stevie Kuhn (CFO) |
| Authorized Official Contact | 7604856563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 417 Recovery 1595 Grand Ave Ste 102 San Marcos CA 92078-2450 Ph: (760) 485-6563 | 417 Recovery 26010 Acero Ste 200 Mission Viejo CA 92691-2768 Ph: (760) 485-6563 |
| NPI Number | 1649047242 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649047242 | NPI | - | NPPES |
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