1154872372 EVOLVE GROWTH INITIATIVES LLC
Mental Illness Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- EVOLVE GROWTH INITIATIVES LLC
- Enumeration Date
- October 24, 2016
- Last Update
- August 20, 2020
- Authorized Official
- EDDY LAI
CONTROLLER
Phone: (772) 361-9705
Practice Location
- Address
- 6425 CHESEBRO ROAD
AGOURA, CA 91301 - Phone
- (424) 281-5000
Mailing Address
- Address
- 300 N PACIFIC COAST HWY STE 2060
EL SEGUNDO, CA 902454479 - Phone
- (772) 361-9705
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Psychiatric Residential Treatment Facility | 323P00000X | Psychiatric Residential Treatment Facility | N/A | N/A | No |
| Substance Abuse Rehabilitation Facility | 324500000X | Substance Abuse Rehabilitation Facility | N/A | N/A | No |
| Children's Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | 3245S0500X | Substance Abuse Rehabilitation Facility | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198209044 | 01 | CA | STATE LICENSE |
| 05D2126813 | 01 | CA | CLIA |
Frequently Asked Questions
What is EVOLVE GROWTH INITIATIVES LLC's NPI number?
EVOLVE GROWTH INITIATIVES LLC's NPI number is 1154872372.
Which doctor has NPI number 1154872372?
The doctor with NPI number 1154872372 is EVOLVE GROWTH INITIATIVES LLC.
What is EVOLVE GROWTH INITIATIVES LLC's practice address?
EVOLVE GROWTH INITIATIVES LLC's practice address is 6425 CHESEBRO ROAD, AGOURA, CA, 91301.
Which doctor practices at 6425 CHESEBRO ROAD, AGOURA, CA, 91301?
EVOLVE GROWTH INITIATIVES LLC practices at 6425 CHESEBRO ROAD, AGOURA, CA, 91301.
What is EVOLVE GROWTH INITIATIVES LLC's mailing address?
EVOLVE GROWTH INITIATIVES LLC's mailing address is 300 N PACIFIC COAST HWY STE 2060, EL SEGUNDO, CA, 902454479.
What is EVOLVE GROWTH INITIATIVES LLC's phone number?
EVOLVE GROWTH INITIATIVES LLC's phone number is (424) 281-5000.
Who is (424) 281-5000?
(424) 281-5000 is the phone number for EVOLVE GROWTH INITIATIVES LLC.
What is EVOLVE GROWTH INITIATIVES LLC's specialty?
EVOLVE GROWTH INITIATIVES LLC's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is EVOLVE GROWTH INITIATIVES LLC?
EVOLVE GROWTH INITIATIVES LLC is a Mental Illness Community Based Residential Treatment Facility.
Is EVOLVE GROWTH INITIATIVES LLC a Community Based Residential Treatment Facility, Mental Illness?
Yes, EVOLVE GROWTH INITIATIVES LLC is a Community Based Residential Treatment Facility, Mental Illness.
Is EVOLVE GROWTH INITIATIVES LLC still practicing?
Yes, EVOLVE GROWTH INITIATIVES LLC is currently practicing.
Is EVOLVE GROWTH INITIATIVES LLC accepting new patients?
EVOLVE GROWTH INITIATIVES LLC may be accepting new patients. Please call their office at (424) 281-5000 to inquire about availability.
Is NPI 1154872372 still active?
Yes, NPI 1154872372 is currently active.
Where does EVOLVE GROWTH INITIATIVES LLC practice?
EVOLVE GROWTH INITIATIVES LLC practices in AGOURA, CA.