Organization · Type 2 NPI
Evolve Family Therapy PC
Mental Health Clinic/Center (Including Community Mental Health Center) · Tracy, CA
NPI number
1194230086
Active
Practice location
359 W 11th St Ste A1
Tracy, CA 95376-3863
Mailing address
3021 Balboa Dr
Tracy, CA 95376-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 102382 (CA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1194230086
Evolve Family Therapy PC's National Provider Identifier is 1194230086, issued on Dec 13, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tracy, CA. The record was last updated on Dec 13, 2017.