| Evolve Therapuetic Behavioral Health And Wellness Services | |
|
16208 Penterra Way Bowie MD 20716-1919 | |
| (301) 996-1677 | |
| Not Available |
| Full Name | Evolve Therapuetic Behavioral Health And Wellness Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16208 Penterra Way, Bowie, Maryland |
| Authorized Official Name and Position | Jacqueline Doloris Hamilton (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 3019961677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Therapuetic Behavioral Health And Wellness Services 16208 Penterra Way Bowie MD 20716-1919 Ph: (301) 996-1677 | Evolve Therapuetic Behavioral Health And Wellness Services 16208 Penterra Way Bowie MD 20716-1919 Ph: (301) 996-1677 |
| NPI Number | 1538433313 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538433313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC4137 (Maryland) | Primary |
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