12 South Recovery

LBN: 12 South Llc
12 South Recovery is an health care organization with primary practice located at 23712 Birtcher Drive , Lake Forest CA 92630. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. 12 South Llc can be contacted via phone (888) 830-8374, or through Smith, Kyle via phone (888) 830-8374.

Contact Information

Primary practice address
23712 Birtcher Drive Lake Forest CA 92630
Phone: (888) 830-8374
Fax: (949) 215-6650
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kyle
Phone: (888) 830-8374

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1154789766
LBN Legal business name 12 South Llc
DBA Doing business as 12 South Recovery
Authorized official Smith, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2016
Last updated Nov 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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