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MINDFUL GROWTH FOUNDATION NPI 1952989923


NPI Information

NPI: 1952989923
Provider Name: MINDFUL GROWTH FOUNDATION

Doing Business As: MINDFUL GROWTH FOUNDATION #2

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1811 W 41ST DR
LOS ANGELES, CA
ZIP 90062
Phone: (323) 348-4615
Get Directions

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 1952989923. The provider is registered as an organization entity type.
The provider Is Doing Business As Mindful Growth Foundation #2.

The provider's business location address is:

1811 W 41ST DR
LOS ANGELES, CA
ZIP 90062-517
Phone: (323) 348-4615
Fax: (323) 983-4212

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 3/31/2021 and was last updated on 4/14/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.