12 North LLC
NPI #1174137467 in Lake Forest, California
Provider Information
- NPI Number
- 1174137467
- Entity Type
- Organization
- Organization Name
- 12 North LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 3, 2020
- Last Updated
- Sep 3, 2020
Practice Location
- Address
- 23696 BIRTCHER DR
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1769
- Phone
- (888) 830-8374
Authorized Official
- Name
- BECKY TOLMASOFF
- Title
- HR MANAGER
- Phone
- (949) 413-7554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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