| NPI | 1063093748 |
|---|---|
| Doing Business As | EVOLUTION HOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | JEFFEREY CARVER Owner 757-239-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |