MINDFUL GROWTH FOUNDATION NPI 1114491636

NPI Information

  • NPI: 1114491636
  • Provider Name: MINDFUL GROWTH FOUNDATION
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Other Name: MINDFUL GROWTH FOUNDATION #1
  • Address: 3924 W ADAMS BLVD
    LOS ANGELES, CA
    ZIP 90018
  • Phone: (239) 980-6543

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NPI Details

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 1114491636. The provider is registered as an organization entity type.
The provider Other Name Is Mindful Growth Foundation #1.

The provider's business location address is:

3924 W ADAMS BLVD
LOS ANGELES, CA
ZIP 90018-755
Phone: (239) 980-6543
Fax: (323) 967-7746

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

The enumeration date for this NPI number is 1/17/2019 and was last updated on 4/27/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

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This page was last updated on: 11/21/2025

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