# ADVANCED GROWTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295107753
- **Authorized official:** SIEU MA (DIRECTOR OF OPERATION)
- **Authorized official phone:** (888) 549-8884

## Contact information

- **Practice address:** 19W706 13TH PL, LOMBARD, IL 60148-4505
- **Practice address phone:** (888) 948-9998
- **Practice address fax:** (888) 776-8838
- **Mailing address:** PO BOX 910913, LOS ANGELES, CA 90091-0913
- **Mailing address phone:** (888) 549-8884
- **Mailing address fax:** (888) 751-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 533073-01 | IL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | 533073-01 | IL | — |

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 10/23/2015