institution
Evolution Mind, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Maplewood, New Jersey
NPI 1912428905

Evolution Mind, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Union, NJ and is specialized in Mental Health (Including Community Mental Health Center). Evolution Mind, Llc practices in Maplewood, NJ. The NPI Number for Evolution Mind, Llc is 1912428905 and holds a License No. (New Jersey).

The current practice location address for Evolution Mind, Llc is 2130 Millburn Ave Ste D2, Maplewood, NJ and can be reached out via phone at 973-801-1801 and via fax at 908-964-0809.

Location: 2130 Millburn Ave Ste D2, Maplewood, NJ, 07083-6243
institution
Provider Profile Details
NPI Number
1912428905
Provider Name
Evolution Mind, Llc
Credential
Provider Entity Type
Organization
Address
2130 Millburn Ave Ste D2, Maplewood, NJ, 07083-6243
Phone Number
973-801-1801
Fax Number
908-964-0809
Provider Enumeration Date
06/29/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1336699529 01 NJ NPI
institution
Provider Business Practice Location Address Details
Address
2130 Millburn Ave Ste D2
City
State
Zip
07040-3749
Phone Number
973-801-1801
Fax Number
908-964-0809
person
Provider Business Mailing Address Details
Address
2130 Millburn Ave Ste D2
City
State
Zip
07040-3749
Phone Number
973-801-1801
Fax Number
908-964-0809
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.
()
Definition
Definition to come...
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