EVOLVE GROWTH INITIATIVES LLC NPI 1295317071

NPI Information

NPI: 1295317071
Provider Name: EVOLVE GROWTH INITIATIVES, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1708 LADINO RD
SACRAMENTO, CA
ZIP 95864
Phone: (424) 290-3354
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EVOLVE GROWTH INITIATIVES, LLC is a community based residential treatment facility mental illness in Sacramento, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EVOLVE GROWTH INITIATIVES, LLC NPI is 1295317071. The provider is registered as an organization entity type.

The provider's business location address is:

1708 LADINO RD
SACRAMENTO, CA
ZIP 95864-626
Phone: (424) 290-3354

The provider's authorized official is Andre Bahbah .
The authorized official title is Director Of Rcm and has the following contact phone number (424) 290-3354.

The enumeration date for this NPI number is 4/22/2021 and was last updated on 4/22/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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