| Evolution Unlimited Ii | |
|
10632 Little Patuxent Pkwy Ste 200 Columbia MD 21044-6250 | |
| (410) 370-8544 | |
| Not Available |
| Full Name | Evolution Unlimited Ii |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10632 Little Patuxent Pkwy Ste 200, Columbia, Maryland |
| Authorized Official Name and Position | Theresa Thomas (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4103708544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Unlimited Ii 1632 Little Patuxent Pkwy Suite 100 Century Plaza 2000 Columbia MD 21044 Ph: (410) 370-8544 | Evolution Unlimited Ii 10632 Little Patuxent Pkwy Ste 200 Columbia MD 21044-6250 Ph: (410) 370-8544 |
| NPI Number | 1548709744 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548709744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AC1434 (Maryland) | Primary |
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