NPI | 1922581297 |
---|---|
Other Name | EVOLVE TREATMENT CENTERS - SAN JOSE |
Entity Type | Organization |
Authorized Contact | EDDY LAI Controller 772-361-9705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
323P00000X Psychiatric Residential Treatment Facility | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2018-09-12 |
Last Update Date | 2020-08-20 |