NPI | 1023557154 |
---|---|
Doing Business As | EVOLUTION WELLNESS |
Entity Type | Organization |
Authorized Contact | KAYLA REILLY Owner 910-409-8958 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010221) |
Enumeration Date | 2017-02-22 |
Last Update Date | 2021-07-27 |