Organization · Type 2 NPI

Mindful Growth Foundation

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

NPI number 1023578705 Active

Practice location

1208 W 38th St
Los Angeles, CA 90037-1106

Call (323) 998-0655 Map

Fax (323) 967-7746

Mailing address

3924 W Adams Blvd
Los Angeles, CA 90018-1755

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Other mental illness community based residential treatment facility providers in Los Angeles

See all in Los Angeles →

NPI record

NPI: 1023578705
Entity type: Organization (Type 2)
Issued: Mar 20, 2019
Last updated: Apr 22, 2020
Status: Active
Subpart: Yes of Mindful Growth Foundation

Other names

<unavail>
Mindful Growth Foundation #2 · other name

Authorized official

Ms. Jasmine Monique Sampson, MSW/MPH
Director
(323) 590-9813

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1023578705

Mindful Growth Foundation's National Provider Identifier is 1023578705, issued on Mar 20, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 22, 2020.