location
search-icon
institution
Growth Extended, Inc.
Substance Abuse Rehabilitation Facility in Lake Balboa, California
NPI 1710428628

Growth Extended, Inc. is a Substance Abuse Rehabilitation Facility based in Pasadena, CA. Growth Extended, Inc. practices in Lake Balboa, CA. The NPI Number for Growth Extended, Inc. is 1710428628 and holds a License No. 190794AP (California).

The current practice location address for Growth Extended, Inc. is 15743 Covello St, Lake Balboa, CA and can be reached out via phone at 888-948-9998 and via fax at 888-751-6166.

Location: 15743 Covello St, Lake Balboa, CA, 91107-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710428628
Provider Name
Growth Extended, Inc.
Credential
Provider Entity Type
Organization
Address
15743 Covello St, Lake Balboa, CA, 91107-3811
Phone Number
888-948-9998
Fax Number
888-751-6166
Provider Enumeration Date
03/10/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
15743 Covello St
City
Lake Balboa
State
California
Zip
91406-3120
Phone Number
888-948-9998
Fax Number
888-751-6166
person
Provider Business Mailing Address Details
Address
15743 Covello St
City
Lake Balboa
State
California
Zip
91406-3120
Phone Number
888-948-9998
Fax Number
888-751-6166
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
190794AP (California)
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
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
190794AP (California)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.