Evolve Treatment Centers - Agoura Hills

LBN: Evolve Growth Initiatives Llc
Evolve Treatment Centers - Agoura Hills is an health care organization with primary practice located at 6425 Chesebro Road , Agoura CA 91301. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Evolve Growth Initiatives Llc can be contacted via phone (424) 281-5000, or through Lai, Eddy via phone (772) 361-9705.

Contact Information

Primary practice address
6425 Chesebro Road Agoura CA 91301
Phone: (424) 281-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lai, Eddy
Phone: (772) 361-9705

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1154872372
LBN Legal business name Evolve Growth Initiatives Llc
DBA Doing business as Evolve Treatment Centers - Agoura Hills
Authorized official Lai, Eddy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2016
Last updated Aug 20th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154872372 NPPES
California Other 198209044 STATE LICENSE
California Other 05D2126813 STATE LICENSE

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