REBECCA'S HOUSE EATING DISORDER TREATMENT PROGRAMS
NPI 1619921657
Clinic/Center - Adult Mental Health in Lake Forest, CA

Active since May 22, 2006
23792 ROCKFIELD BLVD STE 100, LAKE FOREST, CA 92630(800) 711-2062(949) 900-8268 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebecca's House Eating Disorder Treatment Programs NPPES

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

REBECCA'S HOUSE EATING DISORDER TREATMENT PROGRAMS (NPI 1619921657) is a healthcare organization registered as an adult mental health in Lake Forest, California and active in the NPI registry since May 2006. The organization lists Rebecca Burge Cooper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619921657
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business Name21ST CENTURY WELLNESS, INC
Location Address23792 ROCKFIELD BLVD STE 100Lake Forest, CA 92630-2868
Mailing Address23792 Rockfield Blvd Ste 100Lake Forest, CA 92630-2868 · (800) 711-2062 · Fax (949) 900-8268
Fax(949) 900-8268
Organization SubpartNo
Authorized OfficialRebecca Burge CooperCeo · (800) 711-2062
Enumeration DateMay 22, 2006
Last NPPES UpdateOctober 20, 2014
NPI 1619921657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 300211AP (CA)
23792 ROCKFIELD BLVD STE 100, Lake Forest, CA 92630

Other Names 1

Doing Business AsRebecca's House Eating Disorder Treatment Programs

Other Identifiers 1

Other1619921657CA · 21st Century Wellness, Inc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
23792 ROCKFIELD BLVD STE 100
LAKE FOREST, CA 92630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619921657, enumerated as an "organization" on May 22, 2006.

The provider is located at 23792 ROCKFIELD BLVD STE 100 LAKE FOREST, CA 92630 and the phone number is (800) 711-2062.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.