Evolve Residential, LLC
NPI #1124626296 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1124626296
- Entity Type
- Organization
- Organization Name
- Evolve Residential, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 12, 2020
- Last Updated
- Oct 12, 2020
Practice Location
- Address
- 390 WASHINGTON AVE
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21060-8712
- Phone
- (410) 456-7404
Authorized Official
- Name
- SARA BURDEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (410) 456-7404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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