EVOLVE GROWTH INITIATIVES LLC is an adolescent and children mental health clinic center in San Jose, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EVOLVE GROWTH INITIATIVES LLC NPI is 1922581297. The provider is registered as an organization entity type.
The provider Other Name Is Evolve Treatment Centers - San Jose.
The provider's business location address is:
1991 PARK AVE
SAN JOSE, CA
ZIP 95126-423
Phone: (424) 281-5000
The provider's authorized official is Eddy Lai .
The authorized official title is Controller and has the following contact phone number (772) 361-9705.
The CLIA number assigned to this NPI record is 05D2160197 - other - residential treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/12/2018 and was last updated on 8/20/2020.