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Organization

EVOLVE GROWTH INITIATIVES LLC

Active
Parent organization
EVOLVE GROWTH INITIATIVES LLC
Other names
Evolve Treatment Centers - San Diego, Evolve Teen Outpatient Treatment - San Diego, Evolve Treatment Center San Diego IOP, Evolve Treatment Centers-Del Mar Outpatient
Organization subpart
Yes

Provider details

NPI number
Legal business name
EVOLVE GROWTH INITIATIVES LLC
Authorized official
EDDY LAI (CFO)
(424) 290-3341
Entity
Organization

Contact information

Practice address
3702 VIA DE LA VALLE STE 202, DEL MAR, CA 92014-4255
(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
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility
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
370242AP
DHCS
CA
Enumeration date
03/02/2017
Last updated
03/24/2026
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