institution
Evolve Life Centers Iop Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Pasadena, Maryland
NPI 1568123966

Evolve Life Centers Iop Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Pasadena, MD and is specialized in Mental Health (Including Community Mental Health Center). Evolve Life Centers Iop Llc practices in Pasadena, MD. The NPI Number for Evolve Life Centers Iop Llc is 1568123966 and holds a License No. (Maryland).

The current practice location address for Evolve Life Centers Iop Llc is 2528 Mountain Rd Ste 102-204, Pasadena, MD and can be reached out via phone at 443-548-3733 and via fax at 410-360-1675.

Location: 2528 Mountain Rd Ste 102-204, Pasadena, MD, 21122-7204
institution
Provider Profile Details
NPI Number
1568123966
Provider Name
Evolve Life Centers Iop Llc
Credential
Provider Entity Type
Organization
Address
2528 Mountain Rd Ste 102-204, Pasadena, MD, 21122-7204
Phone Number
443-548-3733
Fax Number
410-360-1675
Provider Enumeration Date
01/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200468200 05 MD
institution
Provider Business Practice Location Address Details
Address
2528 Mountain Rd Ste 102-204
City
State
Zip
21122-7203
Phone Number
443-548-3733
Fax Number
410-360-1675
person
Provider Business Mailing Address Details
Address
2528 Mountain Rd Ste 102-204
City
State
Zip
21122-7203
Phone Number
443-548-3733
Fax Number
410-360-1675
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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