1669906020 EVOLVE GROWTH INITIATIVES LLC

Mental Illness Community Based Residential Treatment Facility

Active

Basic Information

Organization Name
EVOLVE GROWTH INITIATIVES LLC
Enumeration Date
April 12, 2017
Last Update
August 20, 2020
Authorized Official
EDDY LAI
CONTROLLER
Phone: (772) 361-9705

Practice Location

Address
5435 AURA AVENUE
TARZANA, CA 91356
Phone
(424) 281-5000

Mailing Address

Address
820 MORAGA DR
LOS ANGELES, CA 90049
Phone
(424) 281-5000

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
198209615 01 CA STATE LICENSE
05D2146074 01 CA CLIA

Frequently Asked Questions

What is EVOLVE GROWTH INITIATIVES LLC's NPI number?
EVOLVE GROWTH INITIATIVES LLC's NPI number is 1669906020.
Which doctor has NPI number 1669906020?
The doctor with NPI number 1669906020 is EVOLVE GROWTH INITIATIVES LLC.
What is EVOLVE GROWTH INITIATIVES LLC's practice address?
EVOLVE GROWTH INITIATIVES LLC's practice address is 5435 AURA AVENUE, TARZANA, CA, 91356.
Which doctor practices at 5435 AURA AVENUE, TARZANA, CA, 91356?
EVOLVE GROWTH INITIATIVES LLC practices at 5435 AURA AVENUE, TARZANA, CA, 91356.
What is EVOLVE GROWTH INITIATIVES LLC's mailing address?
EVOLVE GROWTH INITIATIVES LLC's mailing address is 820 MORAGA DR, LOS ANGELES, CA, 90049.
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 1669906020 still active?
Yes, NPI 1669906020 is currently active.
Where does EVOLVE GROWTH INITIATIVES LLC practice?
EVOLVE GROWTH INITIATIVES LLC practices in TARZANA, CA.