NPI | 1073123303 |
---|---|
Doing Business As | EVOKE WELLNESS WALTHAM |
Entity Type | Organization |
Authorized Contact | SHERITA SHERITA Manager 954-993-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2020-08-02 |
Last Update Date | 2024-08-01 |