OrganizationActive
Adolescent Growth, Inc.
NPI 1710504451 · Psychiatric Residential Treatment Facility · Concord, CA
Provider details
- NPI number
- 1710504451
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- John Lewis, Cfo
Practice location
1170 Vista Ridge Ct
Concord, CA 94518-1739
Phone: (888) 948-9998
Fax: (888) 751-6166
Mailing address
60 N Lotus Ave
Pasadena, CA 91107-3811
Registry dates
- Enumerated
- 2020-06-29
- Last updated
- 2024-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.