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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up