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12 SOUTH RECOVERY
NPI 1154789766
Substance Abuse Rehabilitation Facility in Lake Forest, CA

Active since February 10, 2016
23712 BIRTCHER DRIVE, LAKE FOREST, CA 92630(888) 830-8374(949) 215-6650 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Jan 8, 2019, Feb 10, 2016 (3 updates tracked since 2016).

About 12 South Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

12 SOUTH RECOVERY (NPI 1154789766) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Forest, California and active in the NPI registry since February 2016. The organization lists Kyle Smith, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1154789766
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name12 SOUTH LLC
Location Address23712 BIRTCHER DRIVELake Forest, CA 92630
Mailing Address23712 Birtcher DriveLake Forest, CA 92630 · (714) 579-9304 · Fax (949) 215-6650
Phone(888) 830-8374
Fax(949) 215-6650
Organization SubpartNo
Authorized OfficialKyle SmithCeo/owner · (888) 830-8374
Enumeration DateFebruary 10, 2016
Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1154789766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
23712 BIRTCHER DRIVE, Lake Forest, CA 92630
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Other Names 1

Other Name12 South Recovery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 12 South LLC's NPI number?

The NPI number for 12 South LLC is 1154789766. It was assigned to this organization in the NPPES registry on February 10, 2016. The provider is also known as 12 South Recovery.

Where is 12 South LLC located?

12 South LLC is located at 23712 Birtcher Drive, Lake Forest, CA 92630. The listed phone number is (888) 830-8374.

What is 12 South LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for 12 South LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.