Whalio Doctors

NPI 1023578705

Mindful Growth Foundation

Organisation Mental Illness Community Based Residential Treatment Facility Los Angeles, CA

Practice location

Address
1208 W 38th St, Los Angeles, CA 90037-1106
Phone
(323) 998-0655
Fax
(323) 967-7746
Mailing address
3924 W Adams Blvd, Los Angeles, CA 90018-1755

Authorised official

Name
Jasmine Monique Sampson
Title
Director
Phone
(323) 590-9813

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1023578705
Entity type
Organization
NPI issued
20 Mar 2019
Record last updated
22 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.