21st Century Wellness, INC
NPI #1619921657 in Lake Forest, California
Provider Information
- NPI Number
- 1619921657
- Entity Type
- Organization
- Organization Name
- 21st Century Wellness, INC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- May 22, 2006
- Last Updated
- Oct 20, 2014
Practice Location
- Address
- 23792 ROCKFIELD BLVD STE 100
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-2868
- Phone
- (800) 711-2062
Authorized Official
- Name
- MRS. REBECCA BURGE COOPER, MFT
- Title
- CEO
- Phone
- (800) 711-2062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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