Evolve Residential LLC
NPI #1043957137 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1043957137
- Entity Type
- Organization
- Organization Name
- Evolve Residential LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVOLVE RESIDENTIAL LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 19, 2022
- Last Updated
- Jul 13, 2025
Practice Location
- Address
- 6305 CAROLINA AVE
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-1601
- Phone
- (443) 548-3733
Authorized Official
- Name
- JESSIE COSTLEY
- Title
- LICENSING & CREDENTIALING SPECIALIS
- Phone
- (443) 548-3733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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| Secondchance Recovery House LLC |  AI Deep Dive |
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| Evolve Residential LLC Part of Evolve Residential LLC | AI Deep Dive |
| Alcohol and Drug Intervention, INC | AI Deep Dive |
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