NPI | 1801286992 |
---|---|
Doing Business As | EVOLVE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | LATOYA CYNTHIA WATSON Owner 860-890-4062 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CT 008667) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |