NPI 1295107753

Advanced Growth, INC

Organisation Psychiatric Residential Treatment Facility Lombard, IL

Practice location

Address: 19w706 13th Pl, Lombard, IL 60148-4505
Phone: (888) 948-9998
Fax: (888) 776-8838
Mailing address: PO Box 910913, Los Angeles, CA 90091-0913

Authorised official

Name: Sieu Ma
Title: Director of Operation
Phone: (888) 549-8884

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 533073-01 (IL)

Other Psychiatric Residential Treatment Facility providers in Illinois →

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X Licence 533073-01 (IL)

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Registry record

NPI: 1295107753
Entity type: Organization
NPI issued: 23 Oct 2015
Record last updated: 23 Oct 2015

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.