| Evolution Recovery Services Llc | |
|
4622 Rochambeau Dr Williamsburg VA 23188-7114 | |
| (757) 239-1462 | |
| Not Available |
| Full Name | Evolution Recovery Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4622 Rochambeau Dr, Williamsburg, Virginia |
| Authorized Official Name and Position | Jefferey Carver (OWNER) |
| Authorized Official Contact | 7572391462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Recovery Services Llc Po Box 485 Norge VA 23127-0485 Ph: (757) 239-1462 | Evolution Recovery Services Llc 4622 Rochambeau Dr Williamsburg VA 23188-7114 Ph: (757) 239-1462 |
| NPI Number | 1063093748 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063093748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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