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Organization

EVOLVE GROWTH INITIATIVES LLC

Active
Parent organization
EVOLVE GROWTH INITIATIVES LLC
Other names
Evolve Treatment Centers - Dove Song, Evolve Treatment Centers - Dove Song (Encinitas), Evolve Teen Treatment - Dove Song, Evolve Treatment Centers-Dove Song (Encinitas)
Organization subpart
Yes

Provider details

NPI number
Legal business name
EVOLVE GROWTH INITIATIVES LLC
Authorized official
EDDY LAI (CFO)
(424) 290-3360
Entity
Organization

Contact information

Practice address
985 DOVE SONG WAY, ENCINITAS, CA 92024-6852
(855) 490-0302
Mailing address
360 N PACIFIC COAST HWY STE 1010, EL SEGUNDO, CA 90245-4413
(424) 290-3360
(424) 290-3355

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
323P00000X
Psychiatric Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
374690027
CCLD
CA
Enumeration date
07/28/2021
Last updated
03/24/2026
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