Advanced Growth, Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

533073-01 Issued in IL

Legal business name

ADVANCED GROWTH, INC

Practice address

19W706 13TH PL
Lombard, IL 60148-4505

Phone

(888) 948-9998

Fax

(888) 776-8838

NPI assigned

Oct 23, 2015

Last updated

Oct 23, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sieu Ma

Title

Director of Operation

Phone

(888) 549-8884

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1295107753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910913",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900910913",
            "telephone_number": "888-549-8884",
            "fax_number": "888-751-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19W706 13TH PL",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484505",
            "telephone_number": "888-948-9998",
            "fax_number": "888-776-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GROWTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "SIEU",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "888-549-8884"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IL",
            "license": "533073-01",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "533073-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Lombard, IL
• Providers in Lombard, IL by specialty
• Psychiatric Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.