| NPI | 1558736884 |
|---|---|
| Other Name | EVOLVE |
| Entity Type | Organization |
| Authorized Contact | BRENDA VELISSARIS Clinical Director/Owner 920-364-9078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5873125) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |