| Evolve Wellness, Inc | |
|
4160 Temescal Canyon Rd Ste 507 Corona CA 92883-4629 | |
| (949) 702-4539 | |
| Not Available |
| Full Name | Evolve Wellness, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4160 Temescal Canyon Rd Ste 507, Corona, California |
| Authorized Official Name and Position | Meghan Hanna (PRESIDENT) |
| Authorized Official Contact | 9497024539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Wellness, Inc 4160 Temescal Canyon Rd Ste 507 Corona CA 92883-4629 Ph: (949) 702-4539 | Evolve Wellness, Inc 4160 Temescal Canyon Rd Ste 507 Corona CA 92883-4629 Ph: (949) 702-4539 |
| NPI Number | 1700590635 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700590635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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