Organization
EVOLVE GROWTH INITIATIVES, LLC
Active
Other names
Bel Air Detox
Organization subpart
No
Provider details
NPI number
Authorized official
ARON GITTLESON (CEO)
(718) 931-9700
Entity
Organization
Contact information
Practice address
820 MORAGA DR, LOS ANGELES, CA 90049-1632
(424) 281-5000
Mailing address
820 MORAGA DR, LOS ANGELES, CA 90049
(424) 281-5000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
11/18/2019
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