NPI | 1366216301 |
---|---|
Doing Business As | EVOLUTION THERAPISTS |
Entity Type | Organization |
Authorized Contact | ALESSANDRO NICOLACI CEO 856-313-8945 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-09 |
Last Update Date | 2023-11-09 |