| Evolution To Wellness | |
|
3100 E 45th St Ste 406 Cleveland OH 44127-1095 | |
| (216) 415-9325 | |
| Not Available |
| Full Name | Evolution To Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3100 E 45th St Ste 406, Cleveland, Ohio |
| Authorized Official Name and Position | Latheresa Williams (PRESIDENT) |
| Authorized Official Contact | 2164159325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution To Wellness 3992 E 144th St Cleveland OH 44128-1870 Ph: (216) 415-9325 | Evolution To Wellness 3100 E 45th St Ste 406 Cleveland OH 44127-1095 Ph: (216) 415-9325 |
| NPI Number | 1104518919 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104518919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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