NPI | 1073381810 |
---|---|
Doing Business As | EVOKE COCONUT CREEK, LLC |
Entity Type | Organization |
Authorized Contact | SHERITA CHANG Cro 954-993-2040 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-12-12 |
Last Update Date | 2023-12-12 |