| 417 Recovery | |
|
1595 Grand Ave San Marcos CA 92078-2450 | |
| (760) 485-6563 | |
| Not Available |
| Full Name | 417 Recovery |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
| Location | 1595 Grand Ave, San Marcos, California |
| Authorized Official Name and Position | Stevie Michelle Kuhn (OWNER/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 San Marcos CA 92078-2450 Ph: (760) 485-6563 | 417 Recovery 1595 Grand Ave San Marcos CA 92078-2450 Ph: (760) 485-6563 |
| NPI Number | 1356915821 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356915821 | NPI | - | NPPES |
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