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Evolve Llc
Psychiatric Residential Treatment Facility in Appleton, Wisconsin
NPI 1821541137

Evolve Llc is a Psychiatric Residential Treatment Facility based in Jax Beach, WI. Evolve Llc practices in Appleton, WI. The NPI Number for Evolve Llc is 1821541137 and holds a License No. (Wisconsin).

The current practice location address for Evolve Llc is 3416 Association Dr, Appleton, WI and can be reached out via phone at 920-364-9078 and via fax at 920-243-1792.

Location: 3416 Association Dr, Appleton, WI, 32250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821541137
Provider Name
Evolve Llc
Credential
Provider Entity Type
Organization
Address
3416 Association Dr, Appleton, WI, 32250
Phone Number
920-364-9078
Fax Number
920-243-1792
Provider Enumeration Date
08/03/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3416 Association Dr
City
Appleton
State
Wisconsin
Zip
54914
Phone Number
920-364-9078
Fax Number
920-243-1792
person
Provider Business Mailing Address Details
Address
3416 Association Dr
City
Appleton
State
Wisconsin
Zip
54914
Phone Number
920-364-9078
Fax Number
920-243-1792
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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