Evolution To Wellness
Community/Behavioral Health in Cleveland, OH. Organization (NPI-2).
NPI number1104518919
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1104518919
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolution To Wellness
- Organization subpart
- No
- Enumeration date
- May 22, 2023
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
3100 E 45th St Ste 406Cleveland, OH 44127-1095
Phone 216-415-9325
Mailing address
3992 E 144th StCleveland, OH 44128-1870
Phone 216-415-9325
Authorized official
Latheresa Williams
President
2164159325
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