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EVOLVE GROWTH INITIATIVES LLC NPI 1083161574


NPI Information

NPI: 1083161574
Provider Name: EVOLVE GROWTH INITIATIVES, LLC

Other Name: BEL AIR DETOX

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
820 MORAGA DR
LOS ANGELES, CA
ZIP 90049
Phone: (424) 281-5000
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EVOLVE GROWTH INITIATIVES, LLC is a substance abuse rehabilitation facility in Los Angeles, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. EVOLVE GROWTH INITIATIVES, LLC NPI is 1083161574. The provider is registered as an organization entity type.
The provider Other Name Is Bel Air Detox.

The provider's business location address is:

820 MORAGA DR
LOS ANGELES, CA
ZIP 90049-632
Phone: (424) 281-5000

The provider's authorized official is Aron Gittleson .
The authorized official title is Ceo and has the following contact phone number (718) 931-9700.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 11/18/2019.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

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