Organization
EVOLVE GROWTH INITIATIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARON GITTLESON (CEO)
(718) 931-9700
Entity
Organization
Contact information
Practice address
4810 AZUCENA RD, WOODLAND HILLS, CA 91364-4040
(424) 281-5000
Mailing address
300 N PACIFIC COAST HWY STE 2060, EL SEGUNDO, CA 90245-4479
(424) 281-5000
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/27/2017
Last updated
03/06/2024
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