| Evolve Addiction Recovery Llc | |
|
671 Wyoming Ave Kingston PA 18704-3831 | |
| (570) 288-4205 | |
| (570) 288-4889 |
| Full Name | Evolve Addiction Recovery Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 671 Wyoming Ave, Kingston, Pennsylvania |
| Authorized Official Name and Position | Alyssa Zelsnack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5702884205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Addiction Recovery Llc 671 Wyoming Ave Kingston PA 18704-3831 Ph: (570) 288-4205 | Evolve Addiction Recovery Llc 671 Wyoming Ave Kingston PA 18704-3831 Ph: (570) 288-4205 |
| NPI Number | 1164289484 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164289484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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