Evolve Treatment Centers - Agoura Hills | |
6425 Chesebro Road Agoura CA 91301 | |
(424) 281-5000 | |
Not Available |
Full Name | Evolve Treatment Centers - Agoura Hills |
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Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 6425 Chesebro Road, Agoura, California |
Authorized Official Name and Position | Eddy Lai (CONTROLLER) |
Authorized Official Contact | 7723619705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evolve Treatment Centers - Agoura Hills 300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 Ph: (772) 361-9705 | Evolve Treatment Centers - Agoura Hills 6425 Chesebro Road Agoura CA 91301 Ph: (424) 281-5000 |
NPI Number | 1154872372 |
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Provider Enumeration Date | 10/24/2016 |
Last Update Date | 08/20/2020 |
Certification Date | 08/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154872372 | NPI | - | NPPES |
198209044 | Other | CA | STATE LICENSE |
05D2126813 | Other | CA | CLIA |
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