OrganizationActive
21st Century Wellness, Inc
NPI 1619921657 · Adult Mental Health Clinic/Center · Lake Forest, CA
Provider details
- NPI number
- 1619921657
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Rebecca Cooper, Ceo
- License
- 300211AP (CA)
Practice location
23792 Rockfield Blvd Ste 100
Lake Forest, CA 92630-2868
Phone: (800) 711-2062
Fax: (949) 900-8268
Mailing address
23792 Rockfield Blvd Ste 100
Lake Forest, CA 92630-2868
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2014-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.