NPI 1114491636
Mindful Growth Foundation
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
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.