Evolve Community Services, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Laurel, MD. Organization (NPI-2).
NPI number1104648617
StatusActive
Last updated in NPPESOct 26, 2024
Details
- NPI
- 1104648617
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Community Services, INC.
- Organization subpart
- No
- Enumeration date
- Oct 26, 2024
- Certification date
- Oct 26, 2024
- Last updated
- Oct 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
8101 Sandy Spring Rd Ste 300w-05Laurel, MD 20707-3596
Phone 240-855-6293
Mailing address
8101 Sandy Spring Rd Ste 300w-05Laurel, MD 20707-3596
Phone 240-855-6293
Authorized official
Martin Nkemamin Nzefeh
Ceo
2408556293
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