OrganizationActive
12 North LLC
NPI 1174137467 · Substance Abuse Rehabilitation Facility · Lake Forest, CA
Provider details
- NPI number
- 1174137467
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Becky Tolmasoff, Hr Manager
Practice location
23696 Birtcher Dr
Lake Forest, CA 92630-1769
Phone: (888) 830-8374
Fax: (949) 215-6650
Mailing address
23696 Birtcher Dr
Lake Forest, CA 92630-1769
Registry dates
- Enumerated
- 2020-09-03
- Last updated
- 2020-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.