| NPI | 1023578705 |
|---|---|
| Other Name | MINDFUL GROWTH FOUNDATION #2 |
| Entity Type | Organization |
| Authorized Contact | JASMINE MONIQUE SAMPSON Director 323-590-9813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-04-22 |