Growth Extended, Inc
Growth Extended, Inc is a Psychiatric Residential Treatment Facility in Lake Balboa, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15743 Covello StLake Balboa, CA 91406-3120
Phone: (888) 948-9998
Fax: (888) 751-6166
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Residential Treatment Facility (primary) | Taxonomy 323P00000X · Licence 190794AP (CA) |
|---|---|
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X · Licence 190794AP (CA) |
Record details
| NPI number | 1710428628 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Lewis — Cfo · (888) 948-9998 |
| NPI enumerated | March 10, 2017 |
| Last updated in NPPES | March 31, 2024 |
| Certification date | March 31, 2024 |
| Mailing address | 60 N Lotus Ave, Pasadena, CA 91107-3811 |