Organization · Type 2 NPI

12 South LLC

Substance Abuse Rehabilitation Facility · Lake Forest, CA

NPI number 1154789766 Active

Practice location

23712 Birtcher Drive
Lake Forest, CA 92630

Call (888) 830-8374 Map

Fax (949) 215-6650

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Marriage & Family Therapist 106H00000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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 individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1154789766

12 South LLC's National Provider Identifier is 1154789766, issued on Feb 10, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lake Forest, CA. The record was last updated on Nov 2, 2022.