| Evolve Treatment Centers - San Jose | |
|
1991 Park Ave San Jose CA 95126-1423 | |
| (424) 281-5000 | |
| Not Available |
| Full Name | Evolve Treatment Centers - San Jose |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1991 Park Ave, San Jose, California |
| Authorized Official Name and Position | Eddy Lai (CONTROLLER) |
| Authorized Official Contact | 7723619705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Treatment Centers - San Jose 300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 Ph: (772) 361-9705 | Evolve Treatment Centers - San Jose 1991 Park Ave San Jose CA 95126-1423 Ph: (424) 281-5000 |
| NPI Number | 1922581297 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922581297 | NPI | - | NPPES |
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