GROWTH EXTENDED, INC.
Residential Treatment Facilities at Covello St, Van Nuys, CA

License number
California 190794AP
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
License number
California 190794AP
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: JONATHAN BACH LMFT
Title: CLINICAL SERVICES MANAGER
Phone: (888) 948-9998
Address
Address 2
15743 Covello St, Van Nuys, CA 91406
PO Box 1031, Pasadena, CA 91102
National Provider ID: 1710428628
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GROWTH EXTENDED, INC. at bizstanding.com

Growth Extended, Inc

Pasadena, CA  -  Los Angeles, CA

Registration:
Apr 25, 2012
Addresses:
224 N Fair Oaks Ave, Pasadena, CA 91103
PO Box 910903, Los Angeles, CA 90091
State ID:
03464191
Business type:
Articles of Incorporation
President:
John C. Lewis (President)
Agent:
Stephen R. Golden

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