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417 South River Llc
Children's Substance Abuse Rehabilitation Facility in Murrieta, California
NPI 1891571659

417 South River Llc is a Children's Substance Abuse Rehabilitation Facility based in San Marcos, CA and is specialized in Substance Abuse Treatment, Children. 417 South River Llc practices in Murrieta, CA. The NPI Number for 417 South River Llc is 1891571659 and holds a License No. (California).

The current practice location address for 417 South River Llc is 33050 Antelope Rd Ste 201202, Murrieta, CA and can be reached out via phone at 760-485-6563. You can also correspond with 417 South River Llc through the mailing address at 1595 GRAND AVE STE 102, SAN MARCOS, CA - 92078-2450 (mailing address contact number: 760-485-6563).

Location: 33050 Antelope Rd Ste 201202, Murrieta, CA, 92078-2450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891571659
Provider Name
417 South River Llc
Credential
Provider Entity Type
Organization
Address
33050 Antelope Rd Ste 201202, Murrieta, CA, 92078-2450
Phone Number
760-485-6563
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
33050 Antelope Rd Ste 201202
City
Murrieta
State
California
Zip
92563-2489
Phone Number
760-485-6563
Fax Number
person
Provider Business Mailing Address Details
Address
33050 Antelope Rd Ste 201202
City
Murrieta
State
California
Zip
92563-2489
Phone Number
760-485-6563
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
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.
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