Organization
EVOLVE GROWTH INITIATIVES LLC
Active
Other names
Evolve Treatment Centers - Gilroy
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY LAI (CONTROLLER)
(772) 361-9705
Entity
Organization
Contact information
Practice address
2560 BUTCH DR, GILROY, CA 95020
(424) 281-5000
Mailing address
300 N PACIFIC COAST HWY STE 2060, EL SEGUNDO, CA 90245-4479
(772) 361-9705
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
Enumeration date
11/09/2017
Last updated
08/20/2020
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