Evca, LLC

NPI #1114689379 in Wayne, Michigan

Provider Information

NPI Number: 1114689379
Entity Type: Organization
Organization Name: Evca, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 5, 2021
Last Updated: Oct 5, 2021

Practice Location

Address: 5355 NEWBERRY ST
City: Wayne
State: Michigan
ZIP Code: 48184-2305
Phone: (313) 207-3057

Authorized Official

Name: MRS. EVETTE N CARROLL, LMSW
Title: OWNER/CHIEF EXECUTIVE OFFICER
Phone: (313) 207-3057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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