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12 South Llc
Substance Abuse Rehabilitation Facility in Lake Forest, California
NPI 1154789766

12 South Llc is a Substance Abuse Rehabilitation Facility based in Lake Forest, CA. 12 South Llc practices in Lake Forest, CA. The NPI Number for 12 South Llc is 1154789766 and holds a License No. (California).

The current practice location address for 12 South Llc is 23712 Birtcher Drive, Lake Forest, CA and can be reached out via phone at 888-830-8374 and via fax at 949-215-6650. You can also correspond with 12 South Llc through the mailing address at 23712 BIRTCHER DRIVE, LAKE FOREST, CA - 92630 (mailing address contact number: 714-579-9304).

Location: 23712 Birtcher Drive, Lake Forest, CA, 92630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154789766
Provider Name
12 South Llc
Credential
Provider Entity Type
Organization
Address
23712 Birtcher Drive, Lake Forest, CA, 92630
Phone Number
888-830-8374
Fax Number
949-215-6650
Provider Enumeration Date
02/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23712 Birtcher Drive
City
Lake Forest
State
California
Zip
92630
Phone Number
888-830-8374
Fax Number
949-215-6650
person
Provider Business Mailing Address Details
Address
23712 Birtcher Drive
City
Lake Forest
State
California
Zip
92630
Phone Number
888-830-8374
Fax Number
949-215-6650
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
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