institution
Youth Evolution Track Llc
Professional Counselor in Savannah, Georgia
NPI 1558959171

Youth Evolution Track Llc is a Professional Counselor based in Guyton, GA and is specialized in Professional. Youth Evolution Track Llc practices in Savannah, GA. The NPI Number for Youth Evolution Track Llc is 1558959171 and holds a License No. (Georgia).

The current practice location address for Youth Evolution Track Llc is 224 Stephenson Ave Ste B, Savannah, GA and can be reached out via phone at 912-675-3421.

Location: 224 Stephenson Ave Ste B, Savannah, GA, 31312-7134
institution
Provider Profile Details
NPI Number
1558959171
Provider Name
Youth Evolution Track Llc
Credential
Provider Entity Type
Organization
Address
224 Stephenson Ave Ste B, Savannah, GA, 31312-7134
Phone Number
912-675-3421
Fax Number
Provider Enumeration Date
01/08/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124764 01 GA DRUG AND ALCOHOL
institution
Provider Business Practice Location Address Details
Address
224 Stephenson Ave Ste B
City
State
Zip
31405-5921
Phone Number
912-675-3421
Fax Number
person
Provider Business Mailing Address Details
Address
224 Stephenson Ave Ste B
City
State
Zip
31405-5921
Phone Number
912-675-3421
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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