Organization
12 NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY TOLMASOFF (HR MANAGER)
(949) 413-7554
Entity
Organization
Contact information
Practice address
23696 BIRTCHER DR, LAKE FOREST, CA 92630-1769
(888) 830-8374
(949) 215-6650
Mailing address
23696 BIRTCHER DR, LAKE FOREST, CA 92630-1769
(888) 830-8374
(949) 215-6650
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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