| Evolve Growth Initiatives Llc | |
|
123 Brodia Way Walnut Creek CA 94598-4919 | |
| (424) 281-5000 | |
| Not Available |
| Full Name | Evolve Growth Initiatives Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 123 Brodia Way, Walnut Creek, California |
| Authorized Official Name and Position | Eddy Lai (CONTROLLER) |
| Authorized Official Contact | 7723619705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Growth Initiatives Llc 300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 Ph: (772) 361-9705 | Evolve Growth Initiatives Llc 123 Brodia Way Walnut Creek CA 94598-4919 Ph: (424) 281-5000 |
| NPI Number | 1639711039 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639711039 | NPI | - | NPPES |
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