Organization · Type 2 NPI
Evolve Growth Initiatives LLC
Mental Illness Community Based Residential Treatment Facility · Tarzana, CA
NPI number
1780130088
Active
Practice location
5358 Vanalden Ave
Tarzana, CA 91356-3125
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.
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About NPI 1780130088
Evolve Growth Initiatives LLC's National Provider Identifier is 1780130088, issued on Aug 28, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tarzana, CA. The record was last updated on Mar 24, 2026.