Whalio Doctors

NPI 1114491636

Mindful Growth Foundation

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

Practice location

Address
3924 W Adams Blvd, Los Angeles, CA 90018-1755
Phone
(239) 980-6543
Fax
(323) 967-7746

Authorised official

Name
Jasmine M Sampson
Title
Ceo
Phone
(323) 590-9813

Registered specialties

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

Registry record

NPI
1114491636
Entity type
Organization
NPI issued
17 Jan 2019
Record last updated
27 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.