Organization · Type 2 NPI

417 South River LLC

Children's Substance Abuse Rehabilitation Facility · Murrieta, CA

NPI number 1891571659 Active

Practice location

33050 Antelope Rd Ste 201202
Murrieta, CA 92563-2489

Mailing address

33050 Antelope Rd Ste 201
Murrieta, CA 92563-2491

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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.

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About NPI 1891571659

417 South River LLC's National Provider Identifier is 1891571659, issued on Sep 6, 2023. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Murrieta, CA. The record was last updated on May 21, 2025.