Organization
MINDFUL GROWTH FOUNDATION
Active
Parent organization
MINDFUL GROWTH FOUNDATION
Other names
MINDFUL GROWTH FOUNDATION #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDFUL GROWTH FOUNDATION
Authorized official
JASMINE M SAMPSON MSW/MPH (CEO)
(323) 590-9813
Entity
Organization
Contact information
Practice address
3924 W ADAMS BLVD, LOS ANGELES, CA 90018-1755
(239) 980-6543
(323) 967-7746
Mailing address
3924 W ADAMS BLVD, LOS ANGELES, CA 90018-1755
(323) 998-0654
(323) 967-7746
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
04/27/2020
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