Organization · Type 2 NPI

Evolve Residential, LLC

Substance Abuse Rehabilitation Facility · Glen Burnie, MD

NPI number 1124626296 Active

Practice location

390 Washington Ave
Glen Burnie, MD 21060-8712

Call (410) 456-7404 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1124626296

Evolve Residential, LLC's National Provider Identifier is 1124626296, issued on Oct 12, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Glen Burnie, MD. The record was last updated on Oct 12, 2020.