Evolve Growth Initiatives Llc
Children's Substance Abuse Rehabilitation Facility in Agoura, California
NPI 1154872372
Evolve Growth Initiatives Llc is a Children's Substance Abuse Rehabilitation Facility based in El Segundo, CA and is specialized in Substance Abuse Treatment, Children. Evolve Growth Initiatives Llc practices in Agoura, CA. The NPI Number for Evolve Growth Initiatives Llc is 1154872372 and holds a License No. (California).
The current practice location address for Evolve Growth Initiatives Llc is 6425 Chesebro Road, Agoura, CA and can be reached out via phone at 424-281-5000.
Location: 6425 Chesebro Road, Agoura, CA, 90245-4479
Provider Profile Details
NPI Number
1154872372
Provider Name
Evolve Growth Initiatives Llc
Credential
Provider Entity Type
Organization
Address
6425 Chesebro Road, Agoura, CA, 90245-4479
Phone Number
424-281-5000
Fax Number
Provider Enumeration Date
10/24/2016
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198209044 | 01 | CA | STATE LICENSE |
| 05D2126813 | 01 | CA | CLIA |
Provider Business Practice Location Address Details
Address
6425 Chesebro Road
City
State
Zip
91301
Phone Number
424-281-5000
Fax Number
Provider Business Mailing Address Details
Address
6425 Chesebro Road
City
State
Zip
91301
Phone Number
424-281-5000
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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