Organization
EVOLVE GROWTH INITIATIVES LLC
Active
Parent organization
EVOLVE GROWTH INITIATIVES LLC
Other names
Evolve Treatment Centers - San Jose, Evolve Teen Outpatient Treatment - San Jose, Evolve Treatment Centers-San Jose 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
1991 PARK AVE STE 20, SAN JOSE, CA 95126-1463
(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
—
430092CP
DHCS
CA
Enumeration date
09/12/2018
Last updated
03/24/2026
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