| NPI | 1659731073 |
|---|---|
| Doing Business As | EVOLVE |
| Entity Type | Organization |
| Authorized Contact | BRENDA VELISSARIS Clinical Director/Owner 920-364-9078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5873125) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |