| NPI | 1770027187 |
|---|---|
| Doing Business As | EVOLUTIONS TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | GEDALE M FENSTER CEO 954-915-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2021-05-11 |