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21st Century Wellness, Inc
Substance Use Disorder Rehabilitation Clinic/Center in Lake Forest, California
NPI 1619921657

21st Century Wellness, Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Lake Forest, CA and is specialized in Rehabilitation, Substance Use Disorder. 21st Century Wellness, Inc practices in Lake Forest, CA. The NPI Number for 21st Century Wellness, Inc is 1619921657 and holds a License No. (California).

The current practice location address for 21st Century Wellness, Inc is 23792 Rockfield Blvd Ste 100, Lake Forest, CA and can be reached out via phone at 800-711-2062 and via fax at 949-900-8268.

Location: 23792 Rockfield Blvd Ste 100, Lake Forest, CA, 92630-2868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619921657
Provider Name
21st Century Wellness, Inc
Credential
Provider Entity Type
Organization
Address
23792 Rockfield Blvd Ste 100, Lake Forest, CA, 92630-2868
Phone Number
800-711-2062
Fax Number
949-900-8268
Provider Enumeration Date
05/22/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1619921657 01 CA 21ST CENTURY WELLNESS, INC
institution
Provider Business Practice Location Address Details
Address
23792 Rockfield Blvd Ste 100
City
Lake Forest
State
California
Zip
92630-2868
Phone Number
800-711-2062
Fax Number
949-900-8268
person
Provider Business Mailing Address Details
Address
23792 Rockfield Blvd Ste 100
City
Lake Forest
State
California
Zip
92630-2868
Phone Number
800-711-2062
Fax Number
949-900-8268
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
300211AP (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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