Organization · Type 2 NPI
Growth Extended, Inc.
Psychiatric Residential Treatment Facility · Lake Balboa, CA
Practice location
15743 Covello St
Lake Balboa, CA 91406-3120
Fax (888) 751-6166
Mailing address
60 N Lotus Ave
Pasadena, CA 91107-3811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Residential Treatment Facility Primary | 323P00000X | 190794AP (CA) |
| Substance Abuse Rehabilitation Facility | 324500000X | 190794AP (CA) |
Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…
About NPI 1710428628
Growth Extended, Inc.'s National Provider Identifier is 1710428628, issued on Mar 10, 2017. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Lake Balboa, CA. The record was last updated on Mar 31, 2024.