Evolve Therapeutic Center

NPI #1508315920 in Minooka, Illinois

Provider Information

NPI Number: 1508315920
Entity Type: Organization
Organization Name: Evolve Therapeutic Center
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 27, 2016
Last Updated: Sep 27, 2016

Practice Location

Address: 304 W MONDAMIN ST
Address 2: SUITE 104
City: Minooka
State: Illinois
ZIP Code: 60447-9096
Phone: (815) 685-7601

Authorized Official

Name: ANGELA DECRAENE
Title: OWNER
Phone: (815) 685-7601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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