| Evolve Growth Initiatives Llc | |
|
588 San Ramon Valley Blvd, Unit B/suite 110 Danville CA 94526 | |
| (424) 290-3354 | |
| Not Available |
| Full Name | Evolve Growth Initiatives Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 588 San Ramon Valley Blvd, Unit B/suite 110, Danville, California |
| Authorized Official Name and Position | Eddy Lai (CONTROLLER) |
| Authorized Official Contact | 4242903341 |
| 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: () - | Evolve Growth Initiatives Llc 588 San Ramon Valley Blvd, Unit B/suite 110 Danville CA 94526 Ph: (424) 290-3354 |
| NPI Number | 1265033989 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265033989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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