NPI | 1740916105 |
---|---|
Doing Business As | EVOLVE |
Entity Type | Organization |
Authorized Contact | THOMAS JOSEPH KNIGHTLY Owner 978-857-1424 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-28 |
Last Update Date | 2024-09-30 |