12 SOUTH LLC

NPI: 1154789766 · Organization · Active

Primary Specialty

Substance Abuse Rehabilitation Facility

Practice Location

23712 BIRTCHER DRIVE
LAKE FOREST, CA 92630 Map ↗
Phone: 888-830-8374
Fax: 949-215-6650

All Specialties & Licenses

  • Substance Abuse Rehabilitation Facility Primary
  • Addiction (Substance Use Disorder) Counselor — Addiction (Substance Use Disorder)
  • Marriage & Family Therapist

NPI Registration

Enumerated: 2016-02-10

Last CMS Update: 2022-11-02