Evolve Life Centers Iop LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Pasadena, MD. Organization (NPI-2).
NPI number1851838643
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1851838643
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Life Centers Iop LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2017
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
2528 Mountain RdSuite 102-103 And 201-204
Pasadena, MD 21122-7203
Phone 443-548-3733 · Fax 410-360-1675
Mailing address
2528 Mountain Rd Ste 201-204Pasadena, MD 21122-7203
Phone 443-548-3733 · Fax 410-360-1675
Authorized official
Sara E Burden
Owner
4105483733
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