NPI | 1750718714 |
---|---|
Doing Business As | EVOLUTIONS TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | GEDALE FENSTER CEO 305-725-8790 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD153701) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QA0600X Clinic/Center, Adult Day Care | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2013-10-03 |
Last Update Date | 2021-09-13 |