Organization · Type 2 NPI

Evolve Growth Initiatives LLC

Mental Illness Community Based Residential Treatment Facility · Encinitas, CA

NPI number 1063185809 Active

Practice location

985 Dove Song Way
Encinitas, CA 92024-6852

Call (855) 490-0302 Map

Mailing address

360 N Pacific Coast Hwy Ste 1010
El Segundo, CA 90245-4413

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed
Children's Substance Abuse Rehabilitation Facility	3245S0500X	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 Encinitas

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NPI record

NPI: 1063185809
Entity type: Organization (Type 2)
Issued: Jul 28, 2021
Last updated: Mar 24, 2026
Status: Active
Subpart: Yes of Evolve Growth Initiatives LLC

Other names

Evolve Treatment Centers - Dove Song (encinitas) · doing business as
Evolve Teen Treatment - Dove Song · other name
Evolve Treatment Centers - Dove Song · other name

Authorized official

Eddy Lai
CFO
(424) 290-3360

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.

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About NPI 1063185809

Evolve Growth Initiatives LLC's National Provider Identifier is 1063185809, issued on Jul 28, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Encinitas, CA. The record was last updated on Mar 24, 2026.