Organization
EVOLVE GROWTH INITIATIVES LLC
Active
Other names
Evolve Teen Treatment - Agoura Hills, Evolve Treatment Centers - Agoura Hills
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY LAI (CFO)
(424) 290-3341
Entity
Organization
Contact information
Practice address
6425 CHESEBRO RD, AGOURA HILLS, CA 91301-1803
(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
—
05D2126813
CLIA
CA
01
—
198209044
STATE LICENSE
CA
01
—
198209703
CCLD
CA
Enumeration date
10/24/2016
Last updated
03/24/2026
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