NPI 1073854147

Growth Extended

Organisation Psychiatric Residential Treatment Facility Los Angeles, CA

Practice location

Address: 439 S Serrano Ave, Los Angeles, CA 90020-3604
Phone: (888) 948-9998
Fax: (888) 751-6166
Mailing address: 60 N Lotus Ave, Pasadena, CA 91107-3811

Authorised official

Name: John Lewis
Title: Cfo
Phone: (888) 948-9998

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in California →

Children's Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 3245S0500X Licence 198207997 (CA)

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1073854147
Entity type: Organization
NPI issued: 14 Mar 2013
Record last updated: 31 Mar 2024

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.