| NPI | 1487405080 |
|---|---|
| Doing Business As | ADOLESCENT GROWTH INC |
| Entity Type | Organization |
| Authorized Contact | JOHN LEWIS CFO 626-768-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |