| NPI | 1588498760 |
|---|---|
| Doing Business As | 180 EVOLUTION PLLC |
| Entity Type | Organization |
| Authorized Contact | YAZMEEN NILAJA IRVING Owner & Provider 919-995-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |