Socal Adolescent Wellness, Inc.
NPI #1972375715 in Lake Forest, California
Provider Information
- NPI Number
- 1972375715
- Entity Type
- Organization
- Organization Name
- Socal Adolescent Wellness, Inc.
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Oct 25, 2023
- Last Updated
- Oct 25, 2023
Practice Location
- Address
- 22471 ASPAN ST STE 110
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1644
- Phone
- (714) 465-2305
Authorized Official
- Name
- REBECCA M HARRIS
- Title
- CFO
- Phone
- (949) 467-4324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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