12 SOUTH LLC – NPI #1154789766
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
12 SOUTH LLC is a substance abuse rehabilitation facility located in LAKE FOREST, CA. NPPES has assigned the NPI number 1154789766 to 12 SOUTH LLC on February 10, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 12 SOUTH LLC is also known by the name 12 SOUTH RECOVERY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was previously updated about 4 years ago on Nov 02, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 12 SOUTH LLC below.
NPI Profile for
12 SOUTH LLC
(more than 10 years ago)
LAKE FOREST, CA 92630 Phone: (888) 830-8374 Fax: (949) 215-6650
CEO/OWNER
Phone: (888) 830-8374
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
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| 106H00000X - Marriage & Family Therapist |
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| 101YA0400X - Counselor / Addiction (Substance Use Disorder) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.