Evolve Mind Wellness, INC
NPI #1730825514 in Sebastopol, California
Provider Information
- NPI Number
- 1730825514
- Entity Type
- Organization
- Organization Name
- Evolve Mind Wellness, INC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 5, 2022
- Last Updated
- May 5, 2022
Practice Location
- Address
- 1020 GRAVENSTEIN HWY S STE 120
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4863
- Phone
- (415) 991-3831
Authorized Official
- Name
- GERMAN F ASCANI, MD
- Title
- CEO, CFO, SECRETARY
- Phone
- (415) 991-3831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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