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Organization

ADOLESCENT GROWTH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN LEWIS (CHIEF FINANCIAL OFFICER)
(626) 768-1742
Entity
Organization

Contact information

Practice address
6323 ZINDELL AVE, COMMERCE, CA 90040-3830
(888) 948-9998
(888) 948-9998
Mailing address
60 N LOTUS AVE, PASADENA, CA 91107-3811
(888) 948-9998
(888) 751-6166

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
05/11/2007
Last updated
03/31/2024
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