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EVOLVE GROWTH INITIATIVES LLC NPI 1972055812


NPI Information

NPI: 1972055812
Provider Name: EVOLVE GROWTH INITIATIVES, LLC

Other Name: EVOLVE TREATMENT CENTERS - SUNSET HILLS

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
820 MORAGA DRIVE
LOS ANGELES, CA
ZIP 90049
Phone: (424) 281-5000
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EVOLVE GROWTH INITIATIVES, LLC is an adolescent and children mental health clinic center in Los Angeles, 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 1972055812. The provider is registered as an organization entity type.
The provider Other Name Is Evolve Treatment Centers - Sunset Hills.

The provider's business location address is:

820 MORAGA DRIVE
LOS ANGELES, CA
ZIP 90049
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 enumeration date for this NPI number is 10/26/2016 and was last updated on 8/20/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment FacilityNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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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