Organization · Type 2 NPI

Mindful Growth Foundation

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

NPI number 1861137572 Active

Practice location

5739 Chesley Ave
Los Angeles, CA 90043-2423

Call (323) 590-9813 Map

Fax (323) 983-4212

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.

23 other providers at this address

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

See all in Los Angeles →

NPI record

NPI: 1861137572
Entity type: Organization (Type 2)
Issued: Apr 28, 2022
Last updated: May 10, 2022
Status: Active
Subpart: Yes of Mindful Growth Foundation

Other names

<unavail>
Mindful Growth Foundation · doing business as

Authorized official

Jasmine Sampson, MSW/MPH
Director
(323) 590-9881

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 1861137572

Mindful Growth Foundation's National Provider Identifier is 1861137572, issued on Apr 28, 2022. 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 May 10, 2022.