Organization · Type 2 NPI

Evolution Mind, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Maplewood, NJ

NPI number 1912428905 Active

Practice location

2130 Millburn Ave Ste D2
Maplewood, NJ 07040-3749

Call (973) 801-1801 Map

Fax (908) 964-0809

Mailing address

1286 Marcella Dr
Union, NJ 07083-6243

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

3 other providers at this address

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About NPI 1912428905

Evolution Mind, LLC's National Provider Identifier is 1912428905, issued on Jun 29, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Maplewood, NJ. The record was last updated on Oct 23, 2017.