Organization
MINDFUL GROWTH FOUNDATION
Active
Parent organization
MINDFUL GROWTH FOUNDATION
Other names
Mindful Growth Foundation #2
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDFUL GROWTH FOUNDATION
Authorized official
MISS JASMINE MONIQUE SAMPSON MSW/MPH (DIRECTOR)
(323) 590-9813
Entity
Organization
Contact information
Practice address
1811 W 41ST DR, LOS ANGELES, CA 90062-1517
(323) 348-4615
(323) 983-4212
Mailing address
1811 W 41ST DR, LOS ANGELES, CA 90062-1517
(323) 348-4615
(323) 983-4212
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
04/14/2021
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