MINDFUL GROWTH FOUNDATION NPI 1023578705

NPI Information

MINDFUL GROWTH FOUNDATION is a community based residential treatment facility mental illness in Los Angeles, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MINDFUL GROWTH FOUNDATION NPI is 1023578705. The provider is registered as an organization entity type.
The provider Other Name Is Mindful Growth Foundation #2.

The provider's business location address is:

1208 W 38TH ST
LOS ANGELES, CA
ZIP 90037-106
Phone: (323) 998-0655
Fax: (323) 967-7746

The provider's authorized official is Jasmine Monique Sampson .
The authorized official title is Director and has the following contact phone number (323) 590-9813.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 4/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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