417 RECOVERY – NPI #1356915821
Substance Abuse Rehabilitation Facility
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 RECOVERY is a substance abuse rehabilitation facility located in SAN MARCOS, CA. NPPES has assigned the NPI number 1356915821 to 417 RECOVERY on May 18, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “417 RECOVERY” is a dba name, the actual legal business name for this organization is 417 NORTH COUNTY LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children
The NPI profile was previously updated about 2 years ago on Dec 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 417 RECOVERY below.
NPI Profile for
417 NORTH COUNTY LLC
(more than 5 years ago)
SAN MARCOS, CA 92078-2450 Phone: (760) 485-6563 Fax:
OWNER/CFO
Phone: (760) 485-6563
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3245S0500X - Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary) |
||
| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health |
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| 251S00000X - Community/Behavioral Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.